Nicole Angelina Hennigan, FNP-C in Anthem, AZ

Nicole Angelina Hennigan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Anthem, Arizona. Her current practice location is 42302 N Vision Way Ste 114, Anthem, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 570-2162.

Nicole Angelina Hennigan is licensed to practice in Arizona (license number 220086) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124502273.

Contact Information

	Nicole Angelina Hennigan, FNP-C
	42302 N Vision Way Ste 114, Anthem, AZ 85086-1468
	(623) 570-2162
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Angelina Hennigan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	42302 N Vision Way Ste 114, Anthem, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124502273
Provider Enumeration Date: 09/24/2018
Last Update Date: 07/15/2025

Medicare PECOS Information:

PECOS PAC ID: 7012242605
Enrollment ID: I20190718003086

Medical Identifiers

Medical identifiers for Nicole Angelina Hennigan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124502273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN161920 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	220086 (Arizona)	Primary

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. Nicole Angelina Hennigan allows following entities to bill medicare on her behalf.

Entity Name	Soal Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316641970 PECOS PAC ID: 0345688719 Enrollment ID: O20240403004468

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. Nicole Angelina Hennigan 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
Nicole Angelina Hennigan, FNP-C 42302 N Vision Way Ste 114, Anthem, AZ 85086-1468 Ph: (623) 570-2162	Nicole Angelina Hennigan, FNP-C 42302 N Vision Way Ste 114, Anthem, AZ 85086-1468 Ph: (623) 570-2162

Reviews and Comments

Nurse Practitioner Nurses in Anthem, AZ

Mr. Todd A Adams, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41818 N Venture Dr Ste 150, Anthem, AZ 85086 Phone: 623-400-1501
Lauren Bisswurm, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3648 W Anthem Way Ste A100, Anthem, AZ 85086 Phone: 623-434-6444 Fax: 623-434-6448
Hannah Parrish, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42201 N 41st Dr Ste 160, Anthem, AZ 85086 Phone: 480-360-8112
Kristen Lynn Stout, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3648 W Anthem Way Ste A100, Anthem, AZ 85086 Phone: 623-434-6444
Pamela Fazekas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3201 W Feather Sound Dr, Anthem, AZ 85086 Phone: 623-399-0023
Mrs. Nicole Renee Bishop, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42104 N Venture Dr Ste D118, Anthem, AZ 85086 Phone: 602-312-9492
Jillian Brynn Goldney, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41810 N Venture Dr Unit D136, Anthem, AZ 85086 Phone: 480-556-0446 Fax: 480-556-0447

Nicole Angelina Hennigan, FNP-C - Medicare Nurse Practitioner in Anthem, AZ