Individual provider Active NPI

Nicole Janice Talbot, D.O.

  • Family Medicine Physician
  • Seguin, TX
National Provider Identifier
1114911161
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4578 Issued in TX
Practice address
515 N King St
Suite 103
Seguin, TX 78155-4801
Phone
(830) 372-5200
Fax
(830) 372-5202
NPI assigned
Sep 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5657 SD
Family Medicine Physician 207Q00000X M4578 TX Primary

Addresses

Primary practice location

515 N King St
Suite 103
Seguin, TX 78155-4801

Mailing address

515 N King St
Suite 103
Seguin, TX 78155-4801
Phone (830) 372-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000337 TX Practitioner - Family Practice 6608891445

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

515 N King St
Suite 103
Seguin, TX 78155-4815

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.8 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
55.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5657SDMDFamily Medicine Physician
M4578TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seguin Family Medicine PA Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
Rushmore Clinic, P.C. Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

515 N King St
Ste 103
Seguin, TX 78155
Phone (830) 372-5200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1114911161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N KING ST",
            "address_2": "SUITE 103",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781554801",
            "telephone_number": "830-372-5200",
            "fax_number": "830-372-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N KING ST",
            "address_2": "SUITE 103",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781554801",
            "telephone_number": "830-372-5200",
            "fax_number": "830-372-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "NICOLE",
        "middle_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "5657",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.