NICOLE PEARCE FNP
NPI 1295191716
Nurse Practitioner - Family in Tucson, AZ

Q: What is Nicole Pearce's NPI number?

The NPI number for Nicole Pearce is 1295191716. It was assigned to this individual provider in the NPPES registry on January 13, 2016.

Q: What is Nicole Pearce's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Pearce was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 13, 2016PECOS EnrolledAccepts Medicare Assignment

76/100

CMS Quality Rating

603 N WILMOT RD STE 151, TUCSON, AZ 85711(520) 886-0206(520) 886-0829 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2019, Dec 22, 2018, Feb 2, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Nicole Pearce Fnp NPPES

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

NICOLE PEARCE FNP (NPI 1295191716) is an individual family provider in Tucson, Arizona, licensed in Arizona (AP8435) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295191716

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE PEARCECredential: FNP

Location Address603 N WILMOT RD STE 151Tucson, AZ 85711-2701

Mailing AddressPo Box 910221Dallas, TX 75391-0221 · (520) 519-7700

Phone(520) 886-0206

Fax(520) 886-0829

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 13, 2016

Last NPPES UpdateMarch 18, 20224 updates tracked since enumeration

NPPES CertifiedMarch 18, 2022

✔ NPI 1295191716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP8435

Also ListedRegistered NurseTaxonomy 163W00000X · License RN159840 (AZ)

603 N WILMOT RD STE 151, Tucson, AZ 85711

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. 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 and accepts Medicare assignment

Nicole Pearce Fnp 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 ID840596391

PECOS Enrollment IDI20160309000488

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 Pearce reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmc Medical Network

2.0 mi

Multi-Specialty

5301 E GRANT RD
Tucson, AZ 85712

Reassigned Medicare billing, Arizona enrollment
471 clinicians in this Medicare group

NPI 1750832283 (520) 327-5461

Tmcone

2.0 mi

Multi-Specialty

5301 E GRANT RD
Tucson, AZ 85712

Reassigned Medicare billing, Arizona enrollment
196 clinicians in this Medicare group

NPI 1467310417 (520) 324-2308

Arizona Oncology Associates PC

2.0 mi

Specialist

2625 N CRAYCROFT RD STE 100
Tucson, AZ 85712

Reassigned Medicare billing, Arizona enrollment
136 clinicians in this Medicare group

NPI 1578587671 (520) 519-7700

Northwest Hbp Medical Services LLC

11 mi

Emergency Medicine

6200 N LA CHOLLA BLVD
Tucson, AZ 85741

Reassigned Medicare billing, Arizona enrollment
664 clinicians in this Medicare group

NPI 1407353006 (520) 229-2657

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

418 services151 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

413 services231 patients

Biopsy and aspiration of bone marrow sample for diagnosis 38222

A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.

31 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85711 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

93.07

Promoting Interoperability

100

Improvement Activities

Cost

15.8

Other Providers at the Same Location NPPES 18

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

KAYLA ANNE WOLF AGACNP-BC

Nurse Practitioner (Acute Care)