MRS. NICOLE LYNN DUNCAN ACNP-BC
NPI 1578739561
Nurse Practitioner - Acute Care in Saint Louis, MO

Active since April 30, 2008PECOS EnrolledAccepts Medicare Assignment
621 S NEW BALLAS RD, SAINT LOUIS, SAINT LOUIS, MO 63141(314) 251-6339 Get Directions Write a Review

NPPES record last updated: August 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Nicole Lynn Duncan Acnp-bc NPPES

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

MRS. NICOLE LYNN DUNCAN ACNP-BC (NPI 1578739561) is an individual acute care provider in Saint Louis, Missouri, licensed in Missouri (2003017940) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1578739561
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. NICOLE LYNN DUNCANCredential: ACNP-BC
Location Address621 S NEW BALLAS RD, SAINT LOUISSaint Louis, MO 63141-8232
Mailing Address621 S New Ballas Rd, Saint LouisSaint Louis, MO 63141-8232 · (314) 251-6339
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 30, 2008
Last NPPES UpdateAugust 3, 2008
NPI 1578739561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MO · 2003017940
621 S NEW BALLAS RD, Saint Louis, MO 63141

Accepted Insurance

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

Mrs. Nicole Lynn Duncan Acnp-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 ID547322604
PECOS Enrollment IDI20081224000082
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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 20

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

Nurse Practitioner (Women's Health)
621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Psychiatry)
621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 419A
SAINT LOUIS, MO 63141
Nutritionist (Nutrition, Education)
621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141

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 Duncan's NPI number?

The NPI number for Nicole Duncan is 1578739561. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Nicole Duncan located?

Nicole Duncan practices at 621 S New Ballas Rd Saint Louis, Saint Louis, MO 63141. The listed phone number is (314) 251-6339.

What is Nicole Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Duncan enrolled in Medicare?

Yes. Nicole Duncan 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.

What insurance does Nicole Duncan accept?

Health plans from Medica list Nicole Duncan 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.

Is Nicole Duncan affiliated with any hospitals?

According to CMS data, Nicole Duncan is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Nicole Duncan was last updated on August 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.