NICOLE BISHOP DEROUEN CRNP
NPI 1679495733
Nurse Practitioner - Family in Greensboro, AL

Q: What is Nicole Derouen's NPI number?

The NPI number for Nicole Derouen is 1679495733. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Q: What is Nicole Derouen'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 Derouen was last updated on July 29, 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.

Active since July 29, 2026PECOS Enrolled

508 GREEN ST, GREENSBORO, AL 36744(334) 624-4442 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Nicole Bishop Derouen Crnp NPPES

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

NICOLE BISHOP DEROUEN CRNP (NPI 1679495733) is an individual family provider in Greensboro, Alabama, licensed in Alabama (F06260368) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679495733

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE BISHOP DEROUENCredential: CRNP

Location Address508 GREEN STGreensboro, AL 36744-2316

Mailing Address199 Taylor RdMoundville, AL 35474-0138 · (205) 292-4786

Phone(334) 624-4442

Sole ProprietorNo

Enumeration DateJuly 29, 2026

NPPES CertifiedJuly 13, 2026

✔ NPI 1679495733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in AL · F06260368

508 GREEN ST, Greensboro, AL 36744

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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 Bishop Derouen Crnp 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 36744 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

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