Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE COUVILLON FAWCETT AGNP-C
NPI 1649772716
Nurse Practitioner - Gerontology in Houston, TX

Q: What is Nicole Couvillon Fawcett's NPI number?

The NPI number for Nicole Couvillon Fawcett is 1649772716. It was assigned to this individual provider in the NPPES registry on March 5, 2018.

Q: What is Nicole Couvillon Fawcett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since March 05, 2018PECOS Enrolled

3100 WESLAYAN ST STE 350, HOUSTON, TX 77027(713) 533-1700(713) 533-1708 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 15, 2026, Mar 18, 2025, Apr 19, 2024 and 8 more (11 updates tracked since 2018).

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About Nicole Couvillon Fawcett Agnp-c NPPES

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

NICOLE COUVILLON FAWCETT AGNP-C (NPI 1649772716) is an individual gerontology provider in Houston, Texas, licensed in Texas (AP136808) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 12 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649772716

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameNICOLE COUVILLON FAWCETTCredential: AGNP-C

Location Address3100 WESLAYAN ST STE 350Houston, TX 77027-5733

Mailing AddressPo Box 873Bellaire, TX 77402-0873 · (713) 533-1700 · Fax (713) 533-1708

Phone(713) 533-1700

Fax(713) 533-1708

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 5, 2018

Last NPPES UpdateSeptember 15, 202611 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2026

✔ NPI 1649772716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TX · AP136808

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP136808 (TX)

3100 WESLAYAN ST STE 350, Houston, TX 77027

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Secondary Practice Locations 12

Location 15020 Kelvin DrHouston, TX 77005-2533 · Phone (281) 886-8082

Location 2901 W Baker RdBaytown, TX 77521-2398 · Phone (866) 659-2295

Location 3331 Fall Creek DrHuffman, TX 77336-2887 · Phone (281) 235-2974

Location 4504 Bering DrHouston, TX 77057-1479 · Phone (832) 699-1767

Location 55000 Cypresswood DrSpring, TX 77379-1500 · Phone (832) 639-8540

Location 620305 Holzwarth RdSpring, TX 77388-5582 · Phone (281) 257-2299

Location 71407 Studewood StHouston, TX 77008-4588 · Phone (713) 802-9700

Location 84141 N Braeswood BlvdHouston, TX 77025-2900 · Phone (713) 665-4141

Location 91015 S Shepherd DrHouston, TX 77019-1122 · Phone (713) 952-7600

Location 104620 Bellaire BlvdBellaire, TX 77401-4231 · Phone (713) 665-3888

Location 1114100 Karissa CtHouston, TX 77049-3866 · Phone (713) 340-5200

Location 124048 Red Bluff RdPasadena, TX 77503-3606 · Phone (713) 477-7877

Other Identifiers 5

Medicaid385955503TX

Medicaid385955502TX

Other8KS668TX · Bcbs Tx Record Id

Medicaid385955504TX

Medicaid385955501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Couvillon Fawcett Agnp-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.

PECOS PAC ID8325387830

PECOS Enrollment IDI20190228000327

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.

Areas of Expertise CMS Part B claims 5

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

289 services81 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

73 services39 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

29 services29 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

27 services27 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS L HAMBLETON LCSW

Social Worker (Clinical)