1. Home
  2. Directory
  3. West Virginia
  4. Charleston
  5. Pediatrics
  6. NPI Profile

JANE ELIZABETH NICHOLAS MD
NPI 1104056878
Pediatrics in Charleston, WV

Active since July 16, 2009PECOS Enrolled
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302(304) 414-1880(304) 414-1886 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jane Elizabeth Nicholas Md NPPES

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

JANE ELIZABETH NICHOLAS MD (NPI 1104056878) is an individual pediatrics provider in Charleston, West Virginia, licensed in West Virginia (20979) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hurricane.

NPPES Registry Identity

NPI1104056878
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJANE ELIZABETH NICHOLASCredential: MD
Location Address800 PENNSYLVANIA AVECharleston, WV 25302-3351
Mailing Address97 Great Teays Blvd, Ste 6Scott Depot, WV 25560-9816 · (304) 757-6999 · Fax (304) 201-5019
Phone(304) 414-1880
Fax(304) 414-1886
Sole ProprietorNo
Enumeration DateJuly 16, 2009
Last NPPES UpdateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
✔ NPI 1104056878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WV · 20979
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
800 PENNSYLVANIA AVE, Charleston, WV 25302
Open in Google Maps ↗

Secondary Practice Location 1

Location 13729 Teays Valley Rd, Suite 100Hurricane, WV 25526-9705 · Phone (304) 760-6040 · Fax (304) 697-2086

Other Identifiers 1

Medicaid3003934000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jane Elizabeth Nicholas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jane Nicholas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Womencare Inc
Same address
Federally Qualified Health Center (FQHC)
800 PENNSYLVANIA AVE
Charleston, WV 25302
  • Reassigned Medicare billing, West Virginia enrollment
  • 81 clinicians in this Medicare group
NPI 1316228166 (304) 414-1899

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25302 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
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 20

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

MRS. HOPE HALSTEAD WEBB CRNA
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-2470
KAWEETA AHUJA
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
DR. HARSHITHA DHANPALREDDY MBBS
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
CAMC FAMILY RESOURCE CENTER
Clinic/Center (Adult Mental Health)
800 PENNSYLVANIA AVE, FAMILY RESOURCE CENTER
CHARLESTON, WV 25302
Kanawha County (304) 388-1596
JENNIFER ESTEP MSN, APRN, FNP-BC
Nurse Practitioner (Family)
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-2600
DR. KRISTI ANN WU DO
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
MRS. KELLEY DAWNE HARPER CRNA
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-2470
JO ELLEN DEAN-WAGONER CRNA
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-2470

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 Jane Nicholas's NPI number?

The NPI number for Jane Nicholas is 1104056878. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Where is Jane Nicholas located?

Jane Nicholas practices at 800 Pennsylvania Ave, Charleston, WV 25302. The listed phone number is (304) 414-1880.

What is Jane Nicholas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jane Nicholas enrolled in Medicare?

Yes. Jane Nicholas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jane Nicholas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Nicholas reassigns Medicare benefits to Womencare Inc (Charleston, WV). The 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 Jane Nicholas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jane Nicholas accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Jane Nicholas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jane Nicholas was last updated on August 12, 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.