NICKOLUS DELONG FNP
NPI 1326853649
Nurse Practitioner - Family in Centennial, CO

Active since February 12, 2025PECOS EnrolledAccepts Medicare Assignment
4777 S ODESSA ST, CENTENNIAL, CO 80015(757) 921-7087 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nickolus Delong Fnp NPPES

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

NICKOLUS DELONG FNP (NPI 1326853649) is an individual family provider in Centennial, Colorado, licensed in Colorado (APN.1000425-NP) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1326853649
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNICKOLUS DELONGCredential: FNP
Location Address4777 S ODESSA STCentennial, CO 80015-3449
Mailing Address4777 S Odessa StCentennial, CO 80015-3449
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 12, 2025
Last NPPES UpdateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1326853649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · APN.1000425-NP
4777 S ODESSA ST, Centennial, CO 80015

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

Nickolus Delong 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 ID941721435
PECOS Enrollment IDI20250313001156
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

3

Medicare enrollment records show Nickolus Delong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
9450 E MISSISSIPPI AVE UNIT B
Denver, CO 80247
  • Reassigned Medicare billing, Colorado enrollment
  • 19 clinicians in this Medicare group
Family
125 RAMPART WAY STE 300
Denver, CO 80230
  • Reassigned Medicare billing, Colorado enrollment
  • 3 clinicians in this Medicare group
15 mi
Multi-Specialty
1560 BROADWAY STE 1600
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 5 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 80015 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 Nickolus Delong's NPI number?

The NPI number for Nickolus Delong is 1326853649. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Nickolus Delong located?

Nickolus Delong practices at 4777 S Odessa St, Centennial, CO 80015. The listed phone number is (757) 921-7087.

What is Nickolus Delong's specialty?

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

Is Nickolus Delong enrolled in Medicare?

Yes. Nickolus Delong 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 organizations bill Medicare for Nickolus Delong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nickolus Delong reassigns Medicare benefits to 3 organizations: Rocky Mountain Medical & Health Care, Inc. (Denver, CO), Wound Care Associates Of Colorado LLC (Denver, CO) and Nbba (Denver, CO). 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 Nickolus Delong'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 Nickolus Delong was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.