NICOLE WADDLE CRNP
NPI 1588378095
Nurse Practitioner in Montgomery, AL

Q: What is Nicole Waddle's NPI number?

The NPI number for Nicole Waddle is 1588378095. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Q: What is Nicole Waddle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Waddle was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 09, 2023PECOS Enrolled

7480 HALCYON POINTE DR STE 300, MONTGOMERY, AL 36117(334) 218-4339 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 7, 2024, Jan 9, 2023 (2 updates tracked since 2023).

On this page

About Nicole Waddle Crnp NPPES

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

NICOLE WADDLE CRNP (NPI 1588378095) is an individual nurse practitioner in Montgomery, Alabama, licensed in Alabama (1-164871) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588378095

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE WADDLECredential: CRNP

Location Address7480 HALCYON POINTE DR STE 300Montgomery, AL 36117-8111

Mailing Address1212 Kingston Green DrPrattville, AL 36067-1728 · (334) 315-7015

Phone(334) 218-4339

Sole ProprietorNo

Enumeration DateJanuary 9, 2023

Last NPPES UpdateJune 7, 20242 updates tracked since enumeration

NPPES CertifiedJune 7, 2024

✔ NPI 1588378095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AL · 1-164871

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1-164871 (AL)

7480 HALCYON POINTE DR STE 300, Montgomery, AL 36117

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Waddle Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 36117 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 Waddle's NPI number?

The NPI number for Nicole Waddle is 1588378095. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Nicole Waddle located?

Nicole Waddle practices at 7480 Halcyon Pointe Dr Ste 300, Montgomery, AL 36117. The listed phone number is (334) 218-4339.

What is Nicole Waddle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Waddle enrolled in Medicare?

Yes. Nicole Waddle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Waddle was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.