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NICOLE ANN THIBAULT NP
NPI 1972245421
Nurse Practitioner in Lowell, MA

Active since April 13, 2022PECOS Enrolled
295 VARNUM AVE, LOWELL, MA 01854(978) 937-6439 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Ann Thibault Np NPPES

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

NICOLE ANN THIBAULT NP (NPI 1972245421) is an individual nurse practitioner in Lowell, Massachusetts, licensed in Massachusetts (RN2299317) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972245421
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE ANN THIBAULTCredential: NP
Location Address295 VARNUM AVELowell, MA 01854-2134
Mailing Address47 High St Ste 101North Andover, MA 01845-2637 · (978) 258-4734
Phone(978) 937-6439
Sole ProprietorNo
Enumeration DateApril 13, 2022
NPPES CertifiedApril 13, 2022
✔ NPI 1972245421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2299317
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.
295 VARNUM AVE, Lowell, MA 01854
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Nicole Ann Thibault 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 01854 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

RAVI KRISHNA MURTHY MD
Emergency Medicine
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6161
NICOLE FLAHERTY
Nurse Practitioner (Pediatrics)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MRS. JULIE FRANCES VERGADOS SIMONEAU
Nurse Practitioner
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6088
KELLY SURABIAN
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MISS MICHELLE MUKASA PA-C
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
DR. SUFYAN A SHEIKH MD
Anesthesiology
295 VARNUM AVE, ANESTHETICS OF LOWELL, PC
LOWELL, MA 01854
Middlesex County (978) 454-0941
DR. CYNTHIA LYNN MANNING M.D.
Hospitalist
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
JULIEANN DUONG PA-C
Physician Assistant (Medical)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000

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 Thibault's NPI number?

The NPI number for Nicole Thibault is 1972245421. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Nicole Thibault located?

Nicole Thibault practices at 295 Varnum Ave, Lowell, MA 01854. The listed phone number is (978) 937-6439.

What is Nicole Thibault's specialty?

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

Is Nicole Thibault enrolled in Medicare?

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

What insurance does Nicole Thibault accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicole Thibault 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 Thibault was last updated on April 13, 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.