MRS. MADISON HALEY NICKSIC FNP-BC
NPI 1609602275
Nurse Practitioner - Family in Bluffton, SC
About Mrs. Madison Haley Nicksic Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MADISON HALEY NICKSIC FNP-BC (NPI 1609602275) is an individual family provider in Bluffton, South Carolina, licensed in South Carolina (29495) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Madison Haley Nicksic Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Madison Nicksic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, SC 29615
- Reassigned Medicare billing, South Carolina enrollment
- 5 clinicians in this Medicare group
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 29910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLUFFTON, SC 29910
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 Madison Nicksic's NPI number?
The NPI number for Madison Nicksic is 1609602275. It was assigned to this individual provider in the NPPES registry on September 11, 2024. The provider is also known as Madison Haley Livesay Np.
Where is Madison Nicksic located?
Madison Nicksic practices at 1006 Fording Island Rd, Bluffton, SC 29910. The listed phone number is (866) 389-2727.
What is Madison Nicksic's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Madison Nicksic enrolled in Medicare?
Yes. Madison Nicksic is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Madison Nicksic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madison Nicksic reassigns Medicare benefits to Advanced Mobile Wound Care, LLC (Greenville, SC). The 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 Madison Nicksic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Madison Nicksic was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Mrs. Madison Haley Nicksic, FNP-BC · NPI 1609602275
Family physician in Bluffton, South Carolina. Individual provider, active in the CMS NPPES registry since September 11, 2024.
## Identity
- **NPI:** 1609602275 (Entity type: Individual)
- **Enumerated:** September 11, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 29495 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1006 FORDING ISLAND RD, Bluffton, SC 29910-4869
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advanced Mobile Wound Care, LLC (NPI 1790523116, Greenville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1609602275) · Data from the CMS NPPES public registry.