MRS. LEILA KEEL NICHOLS CNM
NPI 1104159904
Advanced Practice Midwife in Jackson, TN
About Mrs. Leila Keel Nichols Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LEILA KEEL NICHOLS CNM (NPI 1104159904) is an individual advanced practice midwife in Jackson, Tennessee, licensed in Tennessee (14288) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Accepted 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
Mrs. Leila Keel Nichols Cnm 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.
Medicare Billing Reassignments
4Medicare enrollment records show Leila Nichols reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, TN 38305
- Reassigned Medicare billing, Tennessee enrollment
- 183 clinicians in this Medicare group
Jackson, TN 38301
- Reassigned Medicare billing, Tennessee enrollment
- 50 clinicians in this Medicare group
Jackson, TN 38301
- Reassigned Medicare billing, Tennessee enrollment
- 92 clinicians in this Medicare group
Madison, WV 25130
- Reassigned Medicare billing, West Virginia enrollment
- Also billed through NPI 1770745036 (West Virginia)
- 83 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
JACKSON, TN 38305
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 Leila Nichols's NPI number?
The NPI number for Leila Nichols is 1104159904. It was assigned to this individual provider in the NPPES registry on September 10, 2009.
Where is Leila Nichols located?
Leila Nichols practices at 2863 Highway 45 Byp, Jackson, TN 38305. The listed phone number is (731) 660-8300.
What is Leila Nichols's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Leila Nichols enrolled in Medicare?
Yes. Leila Nichols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Leila Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leila Nichols reassigns Medicare benefits to 4 organizations: Jackson Clinic PA (Jackson, TN), Wt University Medical Associates Inc (Jackson, TN), Obhg Tennessee, P.C. (Jackson, TN) and Womencare, Inc (Madison, WV). 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 Leila Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Leila Nichols accept?
Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Leila Nichols 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 Leila Nichols was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Leila Keel Nichols, CNM · NPI 1104159904
Advanced Practice Midwife physician in Jackson, Tennessee. Individual provider, active in the CMS NPPES registry since September 10, 2009.
## Identity
- **NPI:** 1104159904 (Entity type: Individual)
- **Enumerated:** September 10, 2009
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 14288 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2863 HIGHWAY 45 BYP, Jackson, TN 38305-3618
- **Phone:** (731) 660-8300 · **Fax:** (731) 660-8301
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Jackson Clinic PA (NPI 1285629386, Jackson, TN); Wt University Medical Associates Inc (NPI 1023572344, Jackson, TN); Obhg Tennessee, P.C. (NPI 1285924977, Jackson, TN); Womencare, Inc (NPI 1740450089, Madison, WV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** May 16, 2022
- **Other identifiers:** Other 3380640 (TN); Medicaid 1525515 (TN); Other 3380640 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1104159904) · Data from the CMS NPPES public registry.