MRS. NICOLE LEANNE LAVIN DNP, CPNP
NPI 1790952877
Nurse Practitioner - Pediatrics in San Antonio, TX

Q: What is Nicole Lavin's NPI number?

The NPI number for Nicole Lavin is 1790952877. It was assigned to this individual provider in the NPPES registry on May 8, 2008. The provider is also known as Ms. Nicole Leanne Reed.

Q: What is Nicole Lavin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Lavin was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 May 08, 2008PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2022, Sep 26, 2019 (2 updates tracked since 2019).

On this page

About Mrs. Nicole Leanne Lavin Dnp, Cpnp NPPES

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

MRS. NICOLE LEANNE LAVIN DNP, CPNP (NPI 1790952877) is an individual pediatrics provider in San Antonio, Texas, licensed in Missouri (2019020211) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790952877

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. NICOLE LEANNE LAVINCredential: DNP, CPNP

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-4000 · Fax (816) 302-9939

Phone(210) 358-4000

Fax(816) 302-9939

Sole ProprietorNo

Enumeration DateMay 8, 2008

Last NPPES UpdateApril 25, 20222 updates tracked since enumeration

NPPES CertifiedApril 25, 2022

✔ NPI 1790952877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

Licenses✔ Licensed in MO · 2019020211✔ Licensed in KS · 53-78906-101✔ Licensed in DC · RN1011816✔ Licensed in VA · 0024172033✔ Licensed in TX · AP128012

4502 MEDICAL DR, San Antonio, TX 78229

Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Nicole Leanne Reed

Other Identifiers 1

Medicaid348820703TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole Leanne Lavin Dnp, Cpnp 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 78229 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)