Nicole Stanton
Nurse Practitioner, Primary Care in Stafford, VA. Individual provider (NPI-1).
NPI number1164217824
StatusActive
Last updated in NPPESApr 14, 2025
Details
- NPI
- 1164217824
- Entity type
- Individual (NPI-1)
- Name
- Nicole Stanton
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2025
- Certification date
- Apr 13, 2025
- Last updated
- Apr 14, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 0024191309 | VA | Yes |
Practice location
60 Prosperity LnStafford, VA 22556-4605
Phone 540-842-1666
Mailing address
21 Savannah CtStafford, VA 22554-3795
Phone 540-842-1666
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Primary Care Nurse Practitioner providers in Stafford, VA
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