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Nicole Marie Fesel

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1237 Harding Pl, Ste 3300, Charlotte, NC 28204

PECOS Enrollment

This provider is enrolled in PECOS as NICOLE FESEL.

Based on the most recent information from CMS, provider Nicole Marie Fesel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 12:59 PM.

Profile Details

Provider ID
1972053015
Provider Type
Individual
Full Name
Fesel, Nicole Marie
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/13/2016
Last Updated
7/24/2024

Contact Information

Practice Location

1237 Harding Pl, Ste 3300, Charlotte, NC 28204

(704) 446-5860

Unlisted Fax

Mailing Location

PO Box 19305, Charlotte, NC 28219-9305

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5009026 North Carolina
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5009026 North Carolina

Nicole Marie Fesel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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