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NICOLE EMILY NYBERG N.P.
NPI 1841615770
Nurse Practitioner in Supply, NC

Active since March 01, 2014PECOS Enrolled
20 MEDICAL CAMPUS DR NW STE 205, SUPPLY, NC 28462(910) 721-4400(910) 721-4409 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 26, 2024, May 25, 2023, Feb 20, 2023 (3 updates tracked since 2023).

About Nicole Emily Nyberg N.p. NPPES

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

NICOLE EMILY NYBERG N.P. (NPI 1841615770) is an individual nurse practitioner in Supply, North Carolina, licensed in North Carolina (5015884) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1841615770
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE EMILY NYBERGCredential: N.P.
Location Address20 MEDICAL CAMPUS DR NW STE 205Supply, NC 28462-4094
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (910) 721-4400 · Fax (910) 721-4409
Phone(910) 721-4400
Fax(910) 721-4409
Sole ProprietorNo
Enumeration DateMarch 1, 2014
Last NPPES UpdateJuly 26, 20243 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1841615770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5015884
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License 209.011198 (IL), 0024186415 (VA), 5015884 (NC)
Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License 5015884 (NC), 209.011198 (IL)
20 MEDICAL CAMPUS DR NW STE 205, Supply, NC 28462
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Secondary Practice Location 1

Location 1611 W. Park StUrbana, IL 61801-2500 · Phone (217) 383-3311

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Emily Nyberg N.p. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicole Nyberg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Orthopaedic Surgery
20 MEDICAL CAMPUS DR NW STE 104
Supply, NC 28462
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1336978063 (910) 575-5800
Children's Hospital
346 mi
Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group
NPI 1780800128 (202) 476-5000
Osf Multi-Specialty Group
780 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

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 28462 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 3

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

NOVANT HEALTH MEDICAL GROUP, LLC
Pediatrics
20 MEDICAL CAMPUS DR NW STE 205
SUPPLY, NC 28462
Brunswick County (704) 384-0517
LORI ANNE TACKMAN MD
Pediatrics
20 MEDICAL CAMPUS DR NW STE 205
SUPPLY, NC 28462
Brunswick County (910) 721-4400
DR. BRIAN JAMES MCKLINDON DNP, FNP-C
Student in an Organized Health Care Education/Training Program
20 MEDICAL CAMPUS DR NW STE 205
SUPPLY, NC 28462
Brunswick County (910) 721-4400

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 Nyberg's NPI number?

The NPI number for Nicole Nyberg is 1841615770. It was assigned to this individual provider in the NPPES registry on March 1, 2014.

Where is Nicole Nyberg located?

Nicole Nyberg practices at 20 Medical Campus Dr NW Ste 205, Supply, NC 28462. The listed phone number is (910) 721-4400.

What is Nicole Nyberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Nyberg enrolled in Medicare?

Yes. Nicole Nyberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Nyberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Nyberg reassigns Medicare benefits to 3 organizations: Novant Health Medical Group, LLC (Supply, NC), Children's Hospital (Washington, DC) and Osf Multi-Specialty Group (Peoria, IL). 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 Nyberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Nyberg accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Nicole Nyberg 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 Nyberg was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.