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NICOLE FAKES DO
NPI 1619737350
Student in an Organized Health Care Education/Training Program in Conroe, TX

Active since March 20, 2024PECOS Enrolled
605 S CONROE MEDICAL DR, CONROE, TX 77304(936) 539-4004(936) 539-3635 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Fakes Do NPPES

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

NICOLE FAKES DO (NPI 1619737350) is an individual student in an organized health care education/training program in Conroe, Texas, licensed in Texas (BP10090257) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619737350
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE FAKESCredential: DO
Location Address605 S CONROE MEDICAL DRConroe, TX 77304-4722
Mailing Address605 S Conroe Medical DrConroe, TX 77304-4722 · (936) 539-4004 · Fax (936) 539-3635
Phone(936) 539-4004
Fax(936) 539-3635
Sole ProprietorNo
Enumeration DateMarch 20, 2024
Last NPPES UpdateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1619737350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · BP10090257
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
605 S CONROE MEDICAL DR, Conroe, TX 77304
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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 Fakes Do 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.

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.

RUSHAB HARSHADKUMAR PATEL MD
Hospitalist
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
SERGIO JASAEL GUTIERREZ MD
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
CHANDANA CHITTURI MD
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
AMANDA CHAU DO
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
ADONAI NATALIA PAZ MD
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
NICOLAS ALONSO DO
Student in an Organized Health Care Education/Training Program
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
JORGE CEA LPC
Counselor (Professional)
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004
DANNY FARLEY M.D.
Family Medicine
605 S CONROE MEDICAL DR
CONROE, TX 77304
Montgomery County (936) 539-4004

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 Fakes's NPI number?

The NPI number for Nicole Fakes is 1619737350. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Nicole Fakes located?

Nicole Fakes practices at 605 S Conroe Medical Dr, Conroe, TX 77304. The listed phone number is (936) 539-4004.

What is Nicole Fakes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Fakes enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Fakes was last updated on May 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.