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NICOLE ANN-MARIE MUNDLE NP
NPI 1962930578
Nurse Practitioner - Primary Care in Brooklyn, NY

Active since May 25, 2017PECOS Enrolled
1076 E 56TH ST, BROOKLYN, NY 11234(347) 423-2041 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, May 25, 2017 (2 updates tracked since 2017).

About Nicole Ann-marie Mundle Np NPPES

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

NICOLE ANN-MARIE MUNDLE NP (NPI 1962930578) is an individual primary care provider in Brooklyn, New York, licensed in New York (F3079151) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962930578
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNICOLE ANN-MARIE MUNDLECredential: NP
Location Address1076 E 56TH STBrooklyn, NY 11234-2404
Mailing Address1076 E 56th StBrooklyn, NY 11234-2404 · (347) 423-2041
Phone(347) 423-2041
Sole ProprietorNo
Enumeration DateMay 25, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1962930578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · F3079151
1076 E 56TH ST, Brooklyn, NY 11234
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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 Ann-marie Mundle Np 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 11234 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Mundle's NPI number?

The NPI number for Nicole Mundle is 1962930578. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Nicole Mundle located?

Nicole Mundle practices at 1076 E 56th St, Brooklyn, NY 11234. The listed phone number is (347) 423-2041.

What is Nicole Mundle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nicole Mundle enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Mundle was last updated on July 21, 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.