Nicole Emily Nyberg, NP - Medicare Nurse Practitioner in Supply, NC

Nicole Emily Nyberg, NP is a medicare enrolled "Nurse Practitioner - Neonatal" in Supply, North Carolina. Her current practice location is 20 Medical Campus Dr Nw Ste 205, Supply, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 721-4400.

Nicole Emily Nyberg is licensed to practice in North Carolina (license number 5015884) 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 1841615770.

Contact Information

Nicole Emily Nyberg, NP
20 Medical Campus Dr Nw Ste 205,
Supply, NC 28462-4094
(910) 721-4400
(910) 721-4409

Map and Direction




Provider's Profile

Full NameNicole Emily Nyberg
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location20 Medical Campus Dr Nw Ste 205, Supply, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841615770
  • Provider Enumeration Date: 03/01/2014
  • Last Update Date: 05/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436381514
  • Enrollment ID: I20140404000759

Medical Identifiers

Medical identifiers for Nicole Emily Nyberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841615770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 0024186415 (Virginia)Secondary
363LN0000XNurse Practitioner - Neonatal 209.011198 (Illinois)Secondary
363LN0005XNurse Practitioner - Neonatal, Critical Care 5015884 (North Carolina)Secondary
363LN0005XNurse Practitioner - Neonatal, Critical Care 209.011198 (Illinois)Secondary
363LN0000XNurse Practitioner - Neonatal 5015884 (North Carolina)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 Emily Nyberg allows following entities to bill medicare on her behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 Emily Nyberg 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 AddressPractice Location Address
Nicole Emily Nyberg, NP
Po Box 60447,
Charlotte, NC 28260-0447

Ph: (910) 721-4400
Nicole Emily Nyberg, NP
20 Medical Campus Dr Nw Ste 205,
Supply, NC 28462-4094

Ph: (910) 721-4400

Reviews and Comments


Nurse Practitioner Nurses in Supply, NC

Rachel Irving Almond, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14 Doctors Cir Ste 3, Supply, NC 28462
Phone: 910-754-7075    
Ms. Joan Shelton Phillips, FNPBC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13 Medical Campus Dr Nw Ste 102, Supply, NC 28462
Phone: 910-754-5988    Fax: 910-754-5989
Lorell Sneeden Pait, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 795 Ocean Highway West, Supply, NC 28462
Phone: 910-755-4087    Fax: 910-755-4088
Mrs. Alicia Hope Tyndall, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14 Doctors Cir, Suite 3, Supply, NC 28462
Phone: 910-754-7075    Fax: 910-754-2158
Mrs. Carleen Willeford, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10 Doctors Cir, Suite 2, Supply, NC 28462
Phone: 910-755-6060    Fax: 910-755-6061
Mrs. Mary Beth Koehler, PNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14 Doctors Cir, Suite 3, Supply, NC 28462
Phone: 910-754-7075    Fax: 910-754-2158
Mrs. Savannah Parker Ward, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2298 Ocean Hwy W, Supply, NC 28462
Phone: 910-755-3682    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.