Individual provider Active NPI

Nicole Elise Nugent, WHNP-BC

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1487164992
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1059436 Issued in TX
Practice address
3815 E Bell Rd Ste 3200
Phoenix, AZ 85032-2162
Phone
(855) 850-0638
NPI assigned
Oct 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN.CNP.0041885 OH
Women's Health Nurse Practitioner 363LW0102X 1059436 TX Primary
Women's Health Nurse Practitioner 363LW0102X NP500007711 DC
Women's Health Nurse Practitioner 363LW0102X AC004426 MD
Women's Health Nurse Practitioner 363LW0102X 0024184722 VA
Women's Health Nurse Practitioner 363LW0102X RNP304387 AZ
Women's Health Nurse Practitioner 363LW0102X AP61403221 WA
Women's Health Nurse Practitioner 363LW0102X 9569 CT
Women's Health Nurse Practitioner 363LW0102X APRN11021192 FL
Women's Health Nurse Practitioner 363LW0102X GAA-NP005460 GA
Women's Health Nurse Practitioner 363LW0102X 41865 TN
Women's Health Nurse Practitioner 363LW0102X NUR-APRN-LIC-198958 MT

Addresses

Primary practice location

3815 E Bell Rd Ste 3200
Phoenix, AZ 85032-2162

Mailing address

930 3Rd St
Greensboro, NC 27405-6967
Phone (336) 890-3200

Other practice location 1

3715 Northside Pkwy NW Bldg 100
Atlanta, GA 30327-2886
Phone (855) 850-0638

Other practice location 2

4910 Massachusetts Ave NW Ste 114
Washington, DC 20016-4384
Phone (855) 850-0638

Other practice location 3

116 Washington Ave Ste 3
North Haven, CT 06473-1721
Phone (855) 850-0638

Other practice location 4

3300 S Fiske Blvd Bldg A
Rockledge, FL 32955-4306
Phone (855) 850-0638

Other practice location 5

203 Perry Pkwy Ste 1
Gaithersburg, MD 20877-2169
Phone (855) 850-0638

Other practice location 6

1400 29th St S
Great Falls, MT 59405-5353
Phone (855) 850-0638

Other practice location 7

3430 Ohiohealth Pkwy
Columbus, OH 43202-1575
Phone (855) 850-0638

Other practice location 8

1 Vantage Way Ste C240
Nashville, TN 37228-1580
Phone (855) 850-0638

Other practice location 9

1200 Binz St Ste 1490
Houston, TX 77004-6946
Phone (855) 850-0638

Other practice location 10

1665 Antilley Rd
Abilene, TX 79606-5265
Phone (855) 850-0638

Other practice location 11

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Phone (855) 850-0638

Other practice location 12

55 W Tietan St
Walla Walla, WA 99362-4445
Phone (855) 850-0638

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nnugent505045@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200305002711 NC Practitioner - Nurse Practitioner 1658632641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3715 Northside Parkside
Building 100 Suite 550
Atlanta, GA 30327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RNP304387AZMDWomen's Health Nurse Practitioner
9569CTMDWomen's Health Nurse Practitioner
NP500007711DCMDWomen's Health Nurse Practitioner
APRN11021192FLMDWomen's Health Nurse Practitioner
AC004426MDMDWomen's Health Nurse Practitioner
NUR-APRN-LIC-198958MTMDWomen's Health Nurse Practitioner
APRN.CNP.0041885OHMDWomen's Health Nurse Practitioner
1059436TXMDWomen's Health Nurse Practitioner
0024184722VAMDWomen's Health Nurse Practitioner
AP61403221WAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 17, 2020 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 17, 2020 Accepting new patients
Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group Past Accepting new patients
Privia Virtual Health - Connecticut PLLC PastSince Aug 11, 2024 Accepting new patients

Locations

930 3rd St
Greensboro, NC 27405
Phone (336) 610-3720

520 N Elam Ave
Fl 1
Greensboro, NC 27403
Phone (336) 389-9898

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1487164992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 3RD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056967",
            "telephone_number": "336-890-3200",
            "fax_number": "336-890-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 3200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322162",
            "telephone_number": "855-850-0638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 Northside Pkwy NW Bldg 100",
            "address_purpose": "LOCATION",
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            "postal_code": "303272886",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4910 Massachusetts Ave NW Ste 114",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200164384",
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            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Washington Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "North Haven",
            "state": "CT",
            "postal_code": "064731721",
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            "telephone_number": "855-850-0638",
            "country_name": "United States",
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        },
        {
            "address_1": "3300 S Fiske Blvd Bldg A",
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            "state": "FL",
            "postal_code": "329554306",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Perry Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772169",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 29th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055353",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Ohiohealth Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432021575",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Vantage Way Ste C240",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372281580",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Binz St Ste 1490",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770046946",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1665 Antilley Rd",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796065265",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 N Glebe Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222034173",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 W Tietan St",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993624445",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "NICOLE",
        "middle_name": "ELISE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP.0041885",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1059436",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "DC",
            "license": "NP500007711",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "AC004426",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024184722",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RNP304387",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP61403221",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "9569",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11021192",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "GAA-NP005460",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "41865",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-198958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnugent505045@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "930 3rd St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.