NICKEY NOID APN
NPI 1235796145
Nurse Practitioner - Acute Care in Bryant, AR

Active since May 26, 2019PECOS EnrolledAccepts Medicare Assignment
1709 CEDAR DR, BRYANT, AR 72019(501) 838-8934 Get Directions Write a Review

NPPES record last updated: May 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nickey Noid Apn NPPES

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

NICKEY NOID APN (NPI 1235796145) is an individual acute care provider in Bryant, Arkansas, licensed in Arkansas (A006262) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1235796145
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICKEY NOIDCredential: APN
Location Address1709 CEDAR DRBryant, AR 72019-6378
Mailing Address1709 Cedar DrBryant, AR 72019-6378 · (501) 838-8934
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 26, 2019
✔ NPI 1235796145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AR · A006262
1709 CEDAR DR, Bryant, AR 72019

Other Identifiers 1

MedicaidA006262AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nickey Noid Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537576350
PECOS Enrollment IDI20210323002117
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 Reassignment

Medicare enrollment records show Nickey Noid reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
5 MEDICAL PARK DR STE 304
Benton, AR 72015
  • Reassigned Medicare billing, Arkansas enrollment
  • 36 clinicians in this Medicare group

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 72019 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Nickey Noid's NPI number?

The NPI number for Nickey Noid is 1235796145. It was assigned to this individual provider in the NPPES registry on May 26, 2019.

Where is Nickey Noid located?

Nickey Noid practices at 1709 Cedar Dr, Bryant, AR 72019. The listed phone number is (501) 838-8934.

What is Nickey Noid's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nickey Noid enrolled in Medicare?

Yes. Nickey Noid is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nickey Noid's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nickey Noid reassigns Medicare benefits to Inpatient Solutions (Benton, AR). The 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 Nickey Noid'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 Nickey Noid was last updated on May 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.