MISTY RENEE NICHOLS FNP-BC
NPI 1083339444
Nurse Practitioner - Family in Knoxville, TN

Q: What is Misty Nichols's NPI number?

The NPI number for Misty Nichols is 1083339444. It was assigned to this individual provider in the NPPES registry on October 7, 2022.

Q: What is Misty Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Misty Nichols was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since October 07, 2022PECOS EnrolledAccepts Medicare Assignment

3001 LAKE BROOK BLVD STE 101, KNOXVILLE, TN 37909(865) 374-0600(844) 872-9555 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2025, Sep 6, 2023, Jun 5, 2023 and 2 more (5 updates tracked since 2022).

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About Misty Renee Nichols Fnp-bc NPPES

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

MISTY RENEE NICHOLS FNP-BC (NPI 1083339444) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (32623) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Morristown Hamblen Hospital Association, and maintains a secondary practice location in Maryville.

NPPES Registry Identity

NPI1083339444

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISTY RENEE NICHOLSCredential: FNP-BC

Location Address3001 LAKE BROOK BLVD STE 101Knoxville, TN 37909-3761

Mailing Address3001 Lake Brook Blvd Ste 101Knoxville, TN 37909-3761 · (865) 374-0600 · Fax (844) 872-9555

Phone(865) 374-0600

Fax(844) 872-9555

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 7, 2022

Last NPPES UpdateOctober 15, 20255 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1083339444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 32623

3001 LAKE BROOK BLVD STE 101, Knoxville, TN 37909

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Secondary Practice Location 1

Location 11111 E LaMar Alexander PkwyMaryville, TN 37804-5130 · Phone (865) 724-0867

Other Identifiers 1

MedicaidQ085099TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Misty Renee Nichols Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547628661

PECOS Enrollment IDI20230622001514

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.

Medicare Billing Reassignment

Medicare enrollment records show Misty Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Homecare

Same address

Hospice Care, Community Based

3001 LAKE BROOK BLVD, SUITE 101
Knoxville, TN 37909

Reassigned Medicare billing, Tennessee enrollment
34 clinicians in this Medicare group

NPI 1467449181 (865) 374-0600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

211 services99 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

95 services66 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services32 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440030

Location908 W 4th North StMorristown, TN 37814 · Hamblen County

Emergency services Birthing friendly

Leconte Medical Center

Acute Care Hospitals · Sevierville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440081

Location742 Middlecreek RoadSevierville, TN 37862 · Sevier County

Emergency services Birthing friendly

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440125

Location1901 W Clinch AveKnoxville, TN 37916 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37909 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKLYN CREECH NP

Nurse Practitioner (Family)