NICOLE MCFETRIDGE CRNP
NPI 1225804529
Nurse Practitioner in Philadelphia, PA

Q: What is Nicole Mcfetridge's NPI number?

The NPI number for Nicole Mcfetridge is 1225804529. It was assigned to this individual provider in the NPPES registry on November 28, 2023.

Q: What is Nicole Mcfetridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Mcfetridge was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2023PECOS Enrolled

160 E ERIE AVE, PHILADELPHIA, PA 19134(215) 427-5985 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nicole Mcfetridge Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE MCFETRIDGE CRNP (NPI 1225804529) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP028958) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225804529

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE MCFETRIDGECredential: CRNP

Location Address160 E ERIE AVEPhiladelphia, PA 19134-1011

Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324

Phone(215) 427-5985

Sole ProprietorNo

Enumeration DateNovember 28, 2023

Last NPPES UpdateMay 22, 2024

NPPES CertifiedMay 22, 2024

✔ NPI 1225804529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP028958

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

160 E ERIE AVE, Philadelphia, PA 19134

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Mcfetridge Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Mcfetridge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stc Pediatrics LLC

0.2 mi

Pediatrics

3645 N FRONT ST
Philadelphia, PA 19134

Reassigned Medicare billing, Pennsylvania enrollment
479 clinicians in this Medicare group

NPI 1346884574 (215) 427-5000

Advocare, LLC

14 mi

Pediatrics

401 ROUTE 73 N STE 320
Marlton, NJ 08053

Reassigned Medicare billing, New Jersey enrollment
909 clinicians in this Medicare group

NPI 1770538696 (856) 872-7055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEOFFREY LIBARNES BAJWA MD

Pediatrics (Neonatal-Perinatal Medicine)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5000

STC PEDIATRICS LLC

Pediatrics (Pediatric Allergy/Immunology)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5284

JOANNA OVERTON DO

Student in an Organized Health Care Education/Training Program

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5000

MS. NEHA BUTT MBBS

Student in an Organized Health Care Education/Training Program

160 E ERIE AVE, ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN
PHILADELPHIA, PA 19134

Philadelphia County (923) 333-1317

CHRISTOPHER HAINES D.O.

Emergency Medicine

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5369

DR. FRASER HUNTINGTON BROWN M.D.

Radiology (Diagnostic Neuroimaging)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-3725

NORRELL KRISTIN ATKINSON MD

Pediatrics (Child Abuse Pediatrics)

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5000

VICTORIA NICOLE HUDSON CRNP-PC

Nurse Practitioner

160 E ERIE AVE
PHILADELPHIA, PA 19134

Philadelphia County (215) 427-5985

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Mcfetridge's NPI number?

The NPI number for Nicole Mcfetridge is 1225804529. It was assigned to this individual provider in the NPPES registry on November 28, 2023.

Where is Nicole Mcfetridge located?

Nicole Mcfetridge practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5985.

What is Nicole Mcfetridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Mcfetridge enrolled in Medicare?

Yes. Nicole Mcfetridge is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Mcfetridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Mcfetridge reassigns Medicare benefits to 2 organizations: Stc Pediatrics LLC (Philadelphia, PA) and Advocare, LLC (Marlton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Mcfetridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Mcfetridge was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.