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MRS. MADISON HALEY NICKSIC FNP-BC
NPI 1609602275
Nurse Practitioner in Greenville, SC

Active since September 11, 2024PECOS Enrolled
1140 WOODRUFF RD STE 103, GREENVILLE, SC 29607(864) 807-6099 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2024, Nov 21, 2024, Oct 13, 2024 and 1 more (4 updates tracked since 2024).

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 nurse practitioner in Greenville, South Carolina, licensed in South Carolina (267813) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609602275
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MADISON HALEY NICKSICCredential: FNP-BC
Location Address1140 WOODRUFF RD STE 103Greenville, SC 29607-4173
Mailing Address1140 Woodruff Rd Ste 103Greenville, SC 29607-4173 · (864) 807-6099
Phone(864) 807-6099
Sole ProprietorNo
Enumeration DateSeptember 11, 2024
Last NPPES UpdateFebruary 14, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2026
✔ NPI 1609602275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 267813
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.
1140 WOODRUFF RD STE 103, Greenville, SC 29607
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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)

Mrs. Madison Haley Nicksic Fnp-bc 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 29607 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 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.

Where is Madison Nicksic located?

Madison Nicksic practices at 1140 Woodruff Rd Ste 103, Greenville, SC 29607. The listed phone number is (864) 807-6099.

What is Madison Nicksic's specialty?

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

Is Madison Nicksic enrolled in Medicare?

Yes. Madison Nicksic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Nicksic was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.