NICOLE O'CONNOR NP
NPI 1669199865
Nurse Practitioner - Family in Roswell, GA

Q: What is Nicole O'connor's NPI number?

The NPI number for Nicole O'connor is 1669199865. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Q: What is Nicole O'connor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole O'connor was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since October 27, 2022PECOS Enrolled

12020 ETRIS RD STE B110, ROSWELL, GA 30075(706) 692-9768 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2024, Oct 27, 2022 (2 updates tracked since 2022).

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About Nicole O'connor Np NPPES

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

NICOLE O'CONNOR NP (NPI 1669199865) is an individual family provider in Roswell, Georgia, licensed in Georgia (RN255203) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669199865

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE O'CONNORCredential: NP

Location Address12020 ETRIS RD STE B110Roswell, GA 30075-8010

Mailing Address12020 Etris Rd Ste B110Roswell, GA 30075-8010 · (706) 929-7687

Phone(706) 692-9768

Sole ProprietorNo

Enumeration DateOctober 27, 2022

Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration

NPPES CertifiedAugust 22, 2024

✔ NPI 1669199865 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 GA · RN255203

Also ListedRegistered NurseTaxonomy 163W00000X · License RN255203 (GA)

12020 ETRIS RD STE B110, Roswell, GA 30075

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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 O'connor Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30075 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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 O'connor's NPI number?

The NPI number for Nicole O'connor is 1669199865. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Nicole O'connor located?

Nicole O'connor practices at 12020 Etris Rd Ste B110, Roswell, GA 30075. The listed phone number is (706) 692-9768.

What is Nicole O'connor's specialty?

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

Is Nicole O'connor enrolled in Medicare?

Yes. Nicole O'connor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole O'connor was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.