NICOLE ANN STONEBACK
NPI 1720646227
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC

Active since May 31, 2019PECOS EnrolledAccepts Medicare Assignment
107 SUNNYBROOK RD, RALEIGH, NC 27610(984) 974-4800 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 18, 2025, Jan 17, 2023, Feb 21, 2022 and 1 more (4 updates tracked since 2019).

About Nicole Ann Stoneback NPPES

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

NICOLE ANN STONEBACK (NPI 1720646227) is an individual psychiatric/mental health provider in Raleigh, North Carolina, licensed in North Carolina (5011996) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720646227
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE ANN STONEBACK
Location Address107 SUNNYBROOK RDRaleigh, NC 27610-1827
Mailing Address107 Sunnybrook RdRaleigh, NC 27610-1827 · (984) 974-4800
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 31, 2019
Last NPPES UpdateJune 18, 20254 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1720646227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NC · 5011996
107 SUNNYBROOK RD, Raleigh, NC 27610

Other Names 1

Former Name (1)Nicole Ann Rogers

Secondary Practice Locations 2

Location 15000 Falls Of Neuse Rd Ste 300Raleigh, NC 27609-5480 · Phone (919) 865-8710 · Fax (919) 784-9184
Location 2525 Moye BlvdGreenville, NC 27834-2849 · Phone (252) 744-1406 · Fax (252) 744-4270

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 Ann Stoneback 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 ID9133451966
PECOS Enrollment IDI20191029001215
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

4

Medicare enrollment records show Nicole Stoneback reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
401 E WHITAKER MILL RD STE 2100
Raleigh, NC 27608
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
Dentist
80 AUTUMN FERN TRAIL
Lillington, NC 27546
  • Reassigned Medicare billing, North Carolina enrollment
  • 930 clinicians in this Medicare group
Family Medicine
2053 RIVER ROAD
Henrico, NC 27842
  • Reassigned Medicare billing, North Carolina enrollment
  • 9 clinicians in this Medicare group
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 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 27610 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

Registered Nurse
107 SUNNYBROOK RD
RALEIGH, NC 27610
Pharmacy (Institutional Pharmacy)
107 SUNNYBROOK RD, SUITE B
RALEIGH, NC 27610
Social Worker (Clinical)
107 SUNNYBROOK RD
RALEIGH, NC 27610
Social Worker (Clinical)
107 SUNNYBROOK RD
RALEIGH, NC 27610
Counselor
107 SUNNYBROOK RD
RALEIGH, NC 27610
Psychiatry & Neurology (Psychiatry)
107 SUNNYBROOK RD
RALEIGH, NC 27610
Registered Nurse
107 SUNNYBROOK RD
RALEIGH, NC 27610
Registered Nurse
107 SUNNYBROOK RD
RALEIGH, NC 27610

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 Stoneback's NPI number?

The NPI number for Nicole Stoneback is 1720646227. It was assigned to this individual provider in the NPPES registry on May 31, 2019. The provider is also known as Nicole Ann Rogers.

Where is Nicole Stoneback located?

Nicole Stoneback practices at 107 Sunnybrook Rd, Raleigh, NC 27610. The listed phone number is (984) 974-4800.

What is Nicole Stoneback's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Stoneback enrolled in Medicare?

Yes. Nicole Stoneback 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 organizations bill Medicare for Nicole Stoneback's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Stoneback reassigns Medicare benefits to 4 organizations: University Of North Carolina At Chapel Hill (Raleigh, NC), East Carolina University (Lillington, NC), Roanoke Valley Health Services Inc (Henrico, NC) and Vidant Medical Group LLC (Kinston, NC). 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 Stoneback's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Stoneback accept?

Health plans from Blue Cross and Blue Shield of NC list Nicole Stoneback 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 Stoneback was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.