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DR. ELEISHA JEAN NICKOLES D.D.S
NPI 1053400309
Dentist - General Practice in Wheeling, WV

Active since October 12, 2006PECOS Enrolled
1320 NATIONAL RD, WHEELING, WV 26003(304) 242-8600(304) 242-8665 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Eleisha Jean Nickoles D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELEISHA JEAN NICKOLES D.D.S (NPI 1053400309) is an individual general practice provider in Wheeling, West Virginia, licensed in West Virginia (3669) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053400309
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ELEISHA JEAN NICKOLESCredential: D.D.S
Location Address1320 NATIONAL RDWheeling, WV 26003-5706
Mailing Address1320 National RdWheeling, WV 26003-5706 · (304) 242-8600 · Fax (304) 242-8665
Phone(304) 242-8600
Fax(304) 242-8665
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 12, 2006
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1053400309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WV · 3669✔ Licensed in PA · DS036509
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 30-022488 (OH)
1320 NATIONAL RD, Wheeling, WV 26003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eleisha Jean Nickoles D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476871732
PECOS Enrollment IDI20260603000982
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Eleisha Nickoles's NPI number?

The NPI number for Eleisha Nickoles is 1053400309. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Eleisha Nickoles located?

Eleisha Nickoles practices at 1320 National Rd, Wheeling, WV 26003. The listed phone number is (304) 242-8600.

What is Eleisha Nickoles's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Eleisha Nickoles enrolled in Medicare?

Yes. Eleisha Nickoles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eleisha Nickoles was last updated on January 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.