Ms Nicole Chieka, DNP is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Colorado Springs, Colorado. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Poudre Valley Medical Group Llc and her current practice location is
1400 E Boulder St Ste 700, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 365-7172.
Ms Nicole Chieka is licensed to practice in Colorado (license number C-APN.0004119-C-NP) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588192363.
Physician's Profile
| Full Name | Ms Nicole Chieka |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1400 E Boulder St Ste 700, Colorado Springs, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Nicole Chieka graduated from medical school in 2018
NPI Data:
- NPI Number: 1588192363
- Provider Enumeration Date: 05/24/2017
- Last Update Date: 07/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991077257
- Enrollment ID: I20220722002819
Medical Identifiers
Medical identifiers for Ms Nicole Chieka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588192363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | 5013608 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5013608 (North Carolina) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | C-APN.0004119-C-NP (Colorado) | Primary |
| 363L00000X | Nurse Practitioner | AP10136 (Arizona) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Nicole Chieka allows following entities to bill medicare on her behalf.
| Entity Name | Poudre Valley Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225356868
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nicole Chieka is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ms Nicole Chieka, DNP
2695 Rocky Mountain Ave Ste 150,
Loveland, CO 80538-9071
Ph: (970) 624-2420 | Ms Nicole Chieka, DNP
1400 E Boulder St Ste 700,
Colorado Springs, CO 80909-5533
Ph: (719) 365-7172 |
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