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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE A BRISTOL APRN, PMHNP-BC
NPI 1336003615
Nurse Practitioner - Psychiatric/Mental Health in Georgetown, TX

Active since December 11, 2025PECOS EnrolledAccepts Medicare Assignment
417 TEXAS SKY DR, GEORGETOWN, TX 78628(802) 272-7000 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Oct 7, 2026, Aug 20, 2026 and 1 more (4 updates tracked since 2025).

About Nicole A Bristol Aprn, Pmhnp-bc NPPES

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

NICOLE A BRISTOL APRN, PMHNP-BC (NPI 1336003615) is an individual psychiatric/mental health provider in Georgetown, Texas, licensed in Texas (1229330) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1336003615
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE A BRISTOLCredential: APRN, PMHNP-BC
Location Address417 TEXAS SKY DRGeorgetown, TX 78628-7333
Mailing Address417 Texas Sky DrGeorgetown, TX 78628-7333
Phone(802) 272-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 11, 2025
Last NPPES UpdateOctober 16, 20264 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1336003615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TX · 1229330✔ Licensed in VT · 101.0138991
417 TEXAS SKY DR, Georgetown, TX 78628
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.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 A Bristol Aprn, Pmhnp-bc 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 ID8022592849
PECOS Enrollment IDI20260319002935, I20260702002316
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

2

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

Wise Mind Tx
30 mi
Psychiatry
4904 TRIMMIER RD
Killeen, TX 76542
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1851152383 (254) 236-3364
Northeast Kingdom Human Services Inc
1,701 mi
Mental Health (Including Community Mental Health Center)
181 CRAWFORD RD
Newport, VT 05855
  • Reassigned Medicare billing, Vermont enrollment
  • 43 clinicians in this Medicare group
NPI 1043372709 (802) 334-6744

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 78628 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 Nicole Bristol's NPI number?

The NPI number for Nicole Bristol is 1336003615. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Nicole Bristol located?

Nicole Bristol practices at 417 Texas Sky Dr, Georgetown, TX 78628. The listed phone number is (802) 272-7000.

What is Nicole Bristol's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Bristol enrolled in Medicare?

Yes. Nicole Bristol 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 Nicole Bristol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bristol reassigns Medicare benefits to 2 organizations: Wise Mind Tx (Killeen, TX) and Northeast Kingdom Human Services Inc (Newport, VT). 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 Bristol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Bristol accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Nicole Bristol 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 Bristol was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.