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NICOLE DANIELLE MANSOUR FNP-BC
NPI 1689486003
Nurse Practitioner - Family in Corrales, NM

Active since January 22, 2025PECOS EnrolledAccepts Medicare Assignment
3949 CORRALES RD STE 105, CORRALES, NM 87048(949) 820-1743(847) 221-6782 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2026, Feb 5, 2026, Aug 13, 2025 and 1 more (4 updates tracked since 2025).

About Nicole Danielle Mansour Fnp-bc NPPES

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

NICOLE DANIELLE MANSOUR FNP-BC (NPI 1689486003) is an individual family provider in Corrales, New Mexico, licensed in New Mexico (82459) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689486003
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE DANIELLE MANSOURCredential: FNP-BC
Location Address3949 CORRALES RD STE 105Corrales, NM 87048-9347
Mailing Address2318 Garden Rd NeRio Rancho, NM 87124-2431 · (505) 459-4602
Phone(949) 820-1743
Fax(847) 221-6782
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 22, 2025
Last NPPES UpdateApril 30, 20264 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1689486003 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 NM · 82459
3949 CORRALES RD STE 105, Corrales, NM 87048
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Danielle Mansour Fnp-bc 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.

PECOS PAC ID4183137664
PECOS Enrollment IDI20250627002816
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 87048 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 3

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

VERONICA DARLENE REEDER LPCC
Counselor (Professional)
3949 CORRALES RD STE 105
CORRALES, NM 87048
Sandoval County (505) 273-6300
MR. KENNETH KRISS GOODROW II MS, LPCC, NCC, CCMHC
Community/Behavioral Health
3949 CORRALES RD STE 105
CORRALES, NM 87048
Sandoval County (505) 239-7459
AMERICAS HEALTH AND WELLNESS LLC
Nurse Practitioner (Family)
3949 CORRALES RD STE 105
CORRALES, NM 87048
Sandoval County (949) 820-1743

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 Mansour's NPI number?

The NPI number for Nicole Mansour is 1689486003. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Nicole Mansour located?

Nicole Mansour practices at 3949 Corrales Rd Ste 105, Corrales, NM 87048. The listed phone number is (949) 820-1743.

What is Nicole Mansour's specialty?

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

Is Nicole Mansour enrolled in Medicare?

Yes. Nicole Mansour 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.

When was this NPI record last updated?

The NPPES record for Nicole Mansour was last updated on April 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.