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DR. JAY PATRICK NICHOLS M.D.
NPI 1144562588
Psychiatry & Neurology - Psychiatry in Honolulu, HI

Active since March 25, 2013PECOS Enrolled
1670 MAKALOA ST # 204-351, HONOLULU, HI 96814(808) 762-1135 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2023, Jul 21, 2022, Sep 13, 2017 (3 updates tracked since 2017).

About Dr. Jay Patrick Nichols M.d. NPPES

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

DR. JAY PATRICK NICHOLS M.D. (NPI 1144562588) is an individual psychiatry provider in Honolulu, Hawaii, licensed in Hawaii (MD-21964) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144562588
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JAY PATRICK NICHOLSCredential: M.D.
Location Address1670 MAKALOA ST # 204-351Honolulu, HI 96814-3232
Mailing Address1670 Makaloa St # 204-351Honolulu, HI 96814-3232 · (808) 762-1135
Phone(808) 762-1135
Sole ProprietorYes
Enumeration DateMarch 25, 2013
Last NPPES UpdateMay 16, 20233 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1144562588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in HI · MD-21964
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1670 MAKALOA ST # 204-351, Honolulu, HI 96814
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jay Patrick Nichols M.d. 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 Jay Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hawaii Permanente Medical Group Inc
6.3 mi
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group
NPI 1710945969 (808) 432-0000

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 96814 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
$180.05 typical visit price
range $60.53 – $180.05
Typical copayment $45.01 (range $15.13 – $45.01)
Most-billed visit code 99205
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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 Jay Nichols's NPI number?

The NPI number for Jay Nichols is 1144562588. It was assigned to this individual provider in the NPPES registry on March 25, 2013.

Where is Jay Nichols located?

Jay Nichols practices at 1670 Makaloa St # 204-351, Honolulu, HI 96814. The listed phone number is (808) 762-1135.

What is Jay Nichols's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jay Nichols enrolled in Medicare?

Yes. Jay Nichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jay Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Nichols reassigns Medicare benefits to Hawaii Permanente Medical Group Inc (Honolulu, HI). 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 Jay 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 Jay Nichols was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.