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NICOLE PLOWMAN
NPI 1659096196
Nurse Practitioner - Pediatrics in Charlottesville, VA

Active since October 06, 2022PECOS Enrolled
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-5624(434) 924-3300 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 9, 2023, Dec 28, 2022, Oct 6, 2022 (3 updates tracked since 2022).

About Nicole Plowman NPPES

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

NICOLE PLOWMAN (NPI 1659096196) is an individual pediatrics provider in Charlottesville, Virginia, licensed in Virginia (0024179650) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1659096196
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNICOLE PLOWMAN
Location Address1204 W MAIN STCharlottesville, VA 22903-2824
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 924-5624
Fax(434) 924-3300
Sole ProprietorNo
Enumeration DateOctober 6, 2022
Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1659096196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in VA · 0024179650
1204 W MAIN ST, Charlottesville, VA 22903
Open in Google Maps ↗

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-2824 · Phone (434) 924-0211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Plowman 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 Reassignment

Medicare enrollment records show Nicole Plowman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Virginia Physicians Group
1.1 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 20

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

HEATHER STEVENS SPADER MD
Neurological Surgery
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5749
DR. ASMA SHAHID HABIB M.D.
Pediatrics (Pediatric Cardiology)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-9119
JENNIFER MOORE ANDREWS D.O.
Pediatrics
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
WILLIAM G. WILSON M.D.
Medical Genetics (Clinical Genetics (M.D.))
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
CHRISTIAN A. CHISHOLM MD
Obstetrics & Gynecology
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2500
LINDA A. WAGGONER FOUNTAIN MD
Pediatrics (Pediatric Infectious Diseases)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
ANNE C BUTZ LCSW
Social Worker (Clinical)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5321
KEITH R. BACHMANN M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2301

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 Plowman's NPI number?

The NPI number for Nicole Plowman is 1659096196. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Where is Nicole Plowman located?

Nicole Plowman practices at 1204 W Main St, Charlottesville, VA 22903. The listed phone number is (434) 924-5624.

What is Nicole Plowman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nicole Plowman enrolled in Medicare?

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

Which organization bills Medicare for Nicole Plowman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Plowman reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Plowman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Plowman accept?

Health plans from Oscar Health list Nicole Plowman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Plowman was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.