NICOLE GOURMELON PA-C
NPI 1629636972
Physician Assistant in Houston, TX
About Nicole Gourmelon Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE GOURMELON PA-C (NPI 1629636972) is an individual physician assistant in Houston, Texas, licensed in Texas (PA12749) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Gourmelon Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Gourmelon's NPI number?
The NPI number for Nicole Gourmelon is 1629636972. It was assigned to this individual provider in the NPPES registry on June 2, 2019. The provider is also known as Nicole Elizabeth Cordner.
Where is Nicole Gourmelon located?
Nicole Gourmelon practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-6161.
What is Nicole Gourmelon's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Nicole Gourmelon enrolled in Medicare?
Yes. Nicole Gourmelon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Nicole Gourmelon was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Nicole Gourmelon, PA-C · NPI 1629636972
Physician Assistant physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since June 2, 2019.
## Identity
- **NPI:** 1629636972 (Entity type: Individual)
- **Enumerated:** June 2, 2019
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA12749 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1515 HOLCOMBE BLVD, Houston, TX 77030-4000
- **Phone:** (713) 792-6161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Baylor College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** November 21, 2019
- **Other identifiers:** Medicaid 402724501 (TX); Other 402724502 (TX); Other 8LT455 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1629636972) · Data from the CMS NPPES public registry.