Nicole Lynn Case, DNP, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Fort Benning, GA
NPI 1689200685 · NPPES record last updated Jun 12, 2026
Key facts
- NPI
- 1689200685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN-3707 (HI)
- Practice address
- 6600 Van Aalst Blvd
Fort Benning, GA 31905-2102 - Phone
- (762) 408-0455
- NPI assigned
- Mar 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- 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 |
|---|---|---|---|---|
| I20220727001231 | HI | Order and Referring Only - Nurse Practitioner | 1759763527 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-3707 | HI | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider |
171000000X | |||
| Family Nurse Practitioner | 363LF0000X | APRN-3707 | HI | Yes |
Addresses
Primary practice location
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Mailing address
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone (762) 408-0455
Other providers in Fort Benning, GA
- Kala Campbell
- Dean Canestrini II
- Edna Canino
- Dean Patrick Cardi
- Jacob Carlson
- Vincent Edwin Casiano
- David Alan Cass
- Caitlyn Summer Causey
- Mario Caycedo
- Joseph Cederberg
All providers in Fort Benning, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.