NICOLE RIDER
NPI 1427162379
Social Worker - Clinical in Durham, NC

Active since August 18, 2006Opted out of Medicare · through Apr 19, 2028
1200 BROAD ST STE 209, DURHAM, NC 27705(919) 286-9106 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Rider NPPES

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

NICOLE RIDER (NPI 1427162379) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (C005174) and active in the NPI registry since August 2006. She has opted out of Medicare through April 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427162379
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLE RIDER
Location Address1200 BROAD ST STE 209Durham, NC 27705-3573
Mailing Address1200 Broad St Ste 209Durham, NC 27705-3573 · (919) 286-9106
Sole ProprietorYes
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1427162379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C005174
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1200 BROAD ST STE 209, Durham, NC 27705

Other Identifiers 1

Medicaid6106247NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Nicole Rider has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 19, 2018 through April 19, 2028.

Opt-Out Effective DateApril 19, 2018
Opt-Out In Effect ThroughApril 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 Rider's NPI number?

The NPI number for Nicole Rider is 1427162379. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Nicole Rider located?

Nicole Rider practices at 1200 Broad St Ste 209, Durham, NC 27705. The listed phone number is (919) 286-9106.

What is Nicole Rider's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nicole Rider enrolled in Medicare?

No. Nicole Rider has opted out of Medicare through April 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nicole Rider was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.