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DR. NICOLE M SHEFFIELD MD
NPI 1275506420
Pediatrics in Montgomery, AL

Active since February 08, 2006PECOS Enrolled
2895 ZELDA RD, MONTGOMERY, AL 36106(334) 277-5431(342) 775-4333 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nicole M Sheffield Md NPPES

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

DR. NICOLE M SHEFFIELD MD (NPI 1275506420) is an individual pediatrics provider in Montgomery, Alabama, licensed in Tennessee (35385) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275506420
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. NICOLE M SHEFFIELDCredential: MD
Location Address2895 ZELDA RDMontgomery, AL 36106-2697
Mailing Address3150 Malone DrMontgomery, AL 36106-2647 · (334) 277-5431
Phone(334) 277-5431
Fax(342) 775-4333
Sole ProprietorYes
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1275506420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 35385
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2895 ZELDA RD, Montgomery, AL 36106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole M Sheffield Md 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 Reassignment

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

Health Services, Inc
1.4 mi
Federally Qualified Health Center (FQHC)
1845 CHERRY ST
Montgomery, AL 36107
  • Reassigned Medicare billing, Alabama enrollment
  • 31 clinicians in this Medicare group
NPI 1053433797 (334) 263-2301

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 36106 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 5

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

AIKAM HEALTH
Family Medicine
2895 ZELDA RD
MONTGOMERY, AL 36106
Montgomery County (334) 245-5969
DR. AMIT PATEL D.M.D
Dentist (General Practice)
2895 ZELDA RD
MONTGOMERY, AL 36106
Montgomery County (334) 279-0808
DR. WILLIAM V CORNWELL JR. D.M.D.
Dentist (General Practice)
2895 ZELDA RD
MONTGOMERY, AL 36106
Montgomery County (334) 819-7377
SOPHIA KIM
Nurse Practitioner (Pediatrics)
2895 ZELDA RD
MONTGOMERY, AL 36106
Montgomery County (224) 715-1032
DR. ROBERT BRUCE SANSOM D.M.D
Dentist (General Practice)
2895 ZELDA RD
MONTGOMERY, AL 36106
Montgomery County (334) 279-0808

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 Sheffield's NPI number?

The NPI number for Nicole Sheffield is 1275506420. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Nicole Sheffield located?

Nicole Sheffield practices at 2895 Zelda Rd, Montgomery, AL 36106. The listed phone number is (334) 277-5431.

What is Nicole Sheffield's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Sheffield enrolled in Medicare?

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

Which organization bills Medicare for Nicole Sheffield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sheffield reassigns Medicare benefits to Health Services, Inc (Montgomery, AL). 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 Nicole Sheffield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Sheffield accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Nicole Sheffield as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Sheffield was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.