NICOLE HANLEY FNP-BC
NPI 1659964765
Nurse Practitioner - Family in Sun City, CA

Active since February 19, 2021PECOS Enrolled
29798 HAUN RD STE 207, SUN CITY, CA 92586(951) 679-9700 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole Hanley Fnp-bc NPPES

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

NICOLE HANLEY FNP-BC (NPI 1659964765) is an individual family provider in Sun City, California, licensed in California (95016719) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Corona.

NPPES Registry Identity

NPI1659964765
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE HANLEYCredential: FNP-BC
Location Address29798 HAUN RD STE 207Sun City, CA 92586-6542
Mailing Address8912 Conway DrRiverside, CA 92503-2171 · (951) 367-8703
Sole ProprietorNo
Enumeration DateFebruary 19, 2021
NPPES CertifiedJanuary 11, 2021
✔ NPI 1659964765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95016719
29798 HAUN RD STE 207, Sun City, CA 92586

Secondary Practice Location 1

Location 12083 Compton Ave Ste 202Corona, CA 92881-3416 · Phone (951) 268-5600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Hanley Fnp-bc 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

2

Medicare enrollment records show Nicole Hanley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
23201 MILL CREEK DR STE 220
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
Mental Health
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, California enrollment
  • 93 clinicians in this Medicare group

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 92586 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

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

Clinic/Center (Occupational Medicine)
29798 HAUN RD STE 207
SUN CITY, CA 92586
Physician Assistant (Medical)
29798 HAUN RD STE 207
MENIFEE, CA 92586

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 Hanley's NPI number?

The NPI number for Nicole Hanley is 1659964765. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Where is Nicole Hanley located?

Nicole Hanley practices at 29798 Haun Rd Ste 207, Sun City, CA 92586. The listed phone number is (951) 679-9700.

What is Nicole Hanley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Hanley enrolled in Medicare?

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

Which organizations bill Medicare for Nicole Hanley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Hanley reassigns Medicare benefits to 2 organizations: Center For New Directions, Inc. (Laguna Hills, CA) and Sondermind Professional Clinical Counselor, PC (San Jose, CA). Each 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 Hanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Hanley was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.