NICOLE S FENNELL NP
NPI 1619376274
Nurse Practitioner in Dothan, AL

Q: What is Nicole Fennell's NPI number?

The NPI number for Nicole Fennell is 1619376274. It was assigned to this individual provider in the NPPES registry on August 20, 2014.

Q: What is Nicole Fennell'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 Fennell was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 20, 2014PECOS Enrolled

97.58/100

CMS Quality Rating

1108 ROSS CLARK CIR, DOTHAN, AL 36301(334) 712-3635(334) 699-4387 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nicole S Fennell Np NPPES

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

NICOLE S FENNELL NP (NPI 1619376274) is an individual nurse practitioner in Dothan, Alabama, licensed in Alabama (1-120271) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619376274

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE S FENNELLCredential: NP

Location Address1108 ROSS CLARK CIRDothan, AL 36301-3022

Mailing AddressPo Box 1928Dothan, AL 36301-3022 · (334) 712-3635 · Fax (334) 699-4387

Phone(334) 712-3635

Fax(334) 699-4387

Sole ProprietorNo

Enumeration DateAugust 20, 2014

Last NPPES UpdateJanuary 4, 2016

✔ NPI 1619376274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in AL · 1-120271✔ Licensed in FL · ARNP9382028

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.

1108 ROSS CLARK CIR, Dothan, AL 36301

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole S Fennell Np 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.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Fennell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houston County Healthcare Authority

0.1 mi

Internal Medicine

1108 ROSS CLARK CIR
Dothan, AL 36301

Reassigned Medicare billing, Alabama enrollment
514 clinicians in this Medicare group

NPI 1538597349 (334) 793-8087

Premier Cardiology Consultants Inc

0.1 mi

Cardiovascular Disease

1118 ROSS CLARK CIR, STE 704
Dothan, AL 36301

Reassigned Medicare billing, Alabama enrollment
5 clinicians in this Medicare group

NPI 1033596515 (334) 699-6396

Gut PC

1.1 mi

Anesthesiology

1450 ROSS CLARK CIR STE 400
Dothan, AL 36301

Reassigned Medicare billing, Alabama enrollment
79 clinicians in this Medicare group

NPI 1790201903 (844) 793-1380

Northern Alabama Physicians, LLP

5.8 mi

Hospitalist

4370 W MAIN ST
Dothan, AL 36305

Reassigned Medicare billing, Alabama enrollment
123 clinicians in this Medicare group

NPI 1992178628 (334) 793-5000

Signify Health, LLC

683 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Alabama enrollment
456 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

157 services152 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

DAVID TYLER WARREN M.D.

Anesthesiology