NICOLE MARIE WINNIE MSN, RN, WHNP-BC
NPI 1417726209
Nurse Practitioner - Women's Health in Santa Ana, CA

Active since December 21, 2023PECOS EnrolledAccepts Medicare Assignment
1901 N TUSTIN AVE, SANTA ANA, CA 92705(657) 859-5463(909) 495-1300 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Marie Winnie Msn, Rn, Whnp-bc NPPES

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

NICOLE MARIE WINNIE MSN, RN, WHNP-BC (NPI 1417726209) is an individual women's health provider in Santa Ana, California, licensed in California (95027089) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417726209
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameNICOLE MARIE WINNIECredential: MSN, RN, WHNP-BC
Location Address1901 N TUSTIN AVESanta Ana, CA 92705-7817
Mailing Address1901 N Tustin AveSanta Ana, CA 92705-7817 · (657) 859-5463 · Fax (909) 495-1300
Fax(909) 495-1300
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
NPI 1417726209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in CA · 95027089
Also ListedRegistered NurseTaxonomy 163W00000X · License 790048 (CA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95027089 (CA)
1901 N TUSTIN AVE, Santa Ana, CA 92705

Other Identifiers 3

Other790048CA · Registered Nurse License Number
Other95027089CA · Nurse Practitioner Furnishing License
Other95027089CA · Nurse Practitioner License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Marie Winnie Msn, Rn, Whnp-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 ID4486168366
PECOS Enrollment IDI20250710003586
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 3

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

Nurse Practitioner (Family)
1901 N TUSTIN AVE
SANTA ANA, CA 92705
Clinical Medical Laboratory
1901 N TUSTIN AVE
SANTA ANA, CA 92705
Clinic/Center (Ambulatory Family Planning Facility)
1901 N TUSTIN AVE
SANTA ANA, CA 92705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417726209, enumerated as an "individual" on December 21, 2023.

The provider is located at 1901 N TUSTIN AVE SANTA ANA, CA 92705 and the phone number is (657) 859-5463.

Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.