Nicolette Peters, CRNP
Individual provider Active NPI Nurse Practitioner · Opelika, AL
NPI 1669925251 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1669925251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1-142693 (AL)
- Practice address
- 2000 Pepperell Pkwy
Opelika, AL 36801-5452 - Phone
- (334) 528-1112
- NPI assigned
- Jul 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mills Physican Acute Care Services, LLC
The East Alabama Health Care Authority
Practice addresses (Care Compare)
1850 Shug Jordan Pkwy
Suite 101
Auburn, AL 36830-3084
Phone (334) 209-1117
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 749-3411
Hospital & facility affiliations
- The East Alabama Healthcare Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.26 of 100
- Quality
- 78.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161014001609 | AL | Practitioner - Nurse Practitioner | 0345538864 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-142693 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The East Alabama Health Care Authority | Current |
Accepting new patients | |
| Eamc ER Physicians | Current |
Accepting new patients | |
| Jackson Hospital and Clinic, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Mills Physican Acute Care Services, LLC | Current |
Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Current |
Accepting new patients | |
| The East Alabama Health Care Authority | Current | Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Current |
Accepting new patients |
Locations
1850 Shug Jordan Pkwy
Ste 101
Auburn, AL 36830
Phone (334) 209-1117
764 E Glenn Ave
Auburn, AL 36830
Phone (334) 329-6268
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
1758 Park Pl
Ste 300
Montgomery, AL 36106
Phone (334) 274-1204
1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
- https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-142693 | AL | Yes |
Addresses
Primary practice location
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Mailing address
1722 Pine St
Suite 503
Montgomery, AL 36106-1103
Phone (334) 240-2337
Other practice location 1
1758 Park Pl Ste 300
Montgomery, AL 36106-1137
Phone (334) 293-8922
Other names
- Nicolette Bohy
Other providers in Opelika, AL
- Melissa Jones Perry
- Sandra Edwards Perry
- Elisa Miller Pesto
- Bryan Thomas Peters
- Joylyn Delfin Peters
- Joel C. Pittard
- Milton Earl Pointer Jr.
- David Allen Powell
- Jonathan Richard Powell
- Preferred Hearing Services LLC
All providers in Opelika, AL · Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.