NICOLE WILEY
NPI 1679217590
Ophthalmology in Shreveport, LA
About Nicole Wiley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE WILEY (NPI 1679217590) is an individual ophthalmology provider in Shreveport, Louisiana, licensed in Louisiana (351887) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Wiley 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Wiley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shreveport, LA 71118
- Reassigned Medicare billing, Louisiana enrollment
- 4 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 71118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71118
SHREVEPORT, LA 71118
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 Wiley's NPI number?
The NPI number for Nicole Wiley is 1679217590. It was assigned to this individual provider in the NPPES registry on April 26, 2022.
Where is Nicole Wiley located?
Nicole Wiley practices at 9300 Mansfield Rd Ste 110, Shreveport, LA 71118. The listed phone number is (318) 370-2020.
What is Nicole Wiley's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Nicole Wiley enrolled in Medicare?
Yes. Nicole Wiley 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.
Which organization bills Medicare for Nicole Wiley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wiley reassigns Medicare benefits to The Cataract Surgeons LLC (Shreveport, LA). 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 Wiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Wiley accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Nicole Wiley 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 Wiley was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Nicole Wiley · NPI 1679217590
Ophthalmology physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 26, 2022.
## Identity
- **NPI:** 1679217590 (Entity type: Individual)
- **Enumerated:** April 26, 2022
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 351887 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 9300 MANSFIELD RD STE 110, Shreveport, LA 71118-3137
- **Phone:** (318) 370-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Cataract Surgeons LLC (NPI 1114851946, Shreveport, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 2022
## Record status
- **NPPES last updated:** July 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679217590) · Data from the CMS NPPES public registry.