LAURIE A NICHOLS RN, APN-C
NPI 1003041427
Registered Nurse - General Practice in Vineland, NJ
About Laurie A Nichols Rn, Apn-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURIE A NICHOLS RN, APN-C (NPI 1003041427) is an individual general practice provider in Vineland, New Jersey, licensed in New Jersey (26NJ00189000) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Laurie A Nichols Rn, Apn-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Laurie Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bridgeton, NJ 08302
- Reassigned Medicare billing, New Jersey enrollment
- 281 clinicians in this Medicare group
Blackwood, NJ 08012
- Reassigned Medicare billing, New Jersey enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VINELAND, NJ 08360
VINELAND, NJ 08360
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Laurie Nichols's NPI number?
The NPI number for Laurie Nichols is 1003041427. It was assigned to this individual provider in the NPPES registry on May 29, 2009.
Where is Laurie Nichols located?
Laurie Nichols practices at 2848 S Delsea Dr Ste 2C, Vineland, NJ 08360. The listed phone number is (856) 794-9090.
What is Laurie Nichols's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.
Is Laurie Nichols enrolled in Medicare?
Yes. Laurie Nichols is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Laurie Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laurie Nichols reassigns Medicare benefits to 2 organizations: Community Health Care, Inc. (Bridgeton, NJ) and Nurse Practitioner Professional Resources (Blackwood, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laurie Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Laurie Nichols was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Laurie A Nichols, RN, APN-C · NPI 1003041427
General Practice provider in Vineland, New Jersey. Individual provider, active in the CMS NPPES registry since May 29, 2009.
## Identity
- **NPI:** 1003041427 (Entity type: Individual)
- **Enumerated:** May 29, 2009
- **Primary specialty:** Registered Nurse - General Practice · taxonomy 163WG0000X
- **State license:** 26NJ00189000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 2848 S DELSEA DR STE 2C, Vineland, NJ 08360-7042
- **Phone:** (856) 794-9090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Health Care, Inc. (NPI 1700816816, Bridgeton, NJ); Nurse Practitioner Professional Resources (NPI 1558516260, Blackwood, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2020
- **Other identifiers:** Medicaid PENDING (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1003041427) · Data from the CMS NPPES public registry.