LAKEISHA N NICHOLLS NP
NPI 1154407096
Nurse Practitioner - Family in New York, NY

Q: What is Lakeisha Nicholls's NPI number?

The NPI number for Lakeisha Nicholls is 1154407096. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Q: What is Lakeisha Nicholls'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 Lakeisha Nicholls was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment

255 E HOUSTON ST, NEW YORK, NY 10002(212) 477-1120(212) 477-8957 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lakeisha N Nicholls Np NPPES

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

LAKEISHA N NICHOLLS NP (NPI 1154407096) is an individual family provider in New York, New York, licensed in New York (F347444) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 13 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1154407096

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLAKEISHA N NICHOLLSCredential: NP

Location Address255 E HOUSTON STNew York, NY 10002-1013

Mailing Address700 Broadway Ste 136Westwood, NJ 07675-1674 · (551) 265-4342

Phone(212) 477-1120

Fax(212) 477-8957

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateOctober 31, 2006

Last NPPES UpdateMarch 27, 2024

NPPES CertifiedMarch 25, 2024

✔ NPI 1154407096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in NY · F347444✔ Licensed in NJ · 26NJ01194600

Also ListedNurse PractitionerTaxonomy 363L00000X · License F381608 (NY)

255 E HOUSTON ST, New York, NY 10002

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Secondary Practice Locations 13

Location 11167 Nostrand AveBrooklyn, NY 11225-5417 · Phone (718) 778-0198 · Fax (718) 221-8169

Location 2999 Blake AveBrooklyn, NY 11208-3535 · Phone (718) 277-8303 · Fax (718) 277-4795

Location 32581 Atlantic AveBrooklyn, NY 11207-2412 · Phone (718) 495-6700 · Fax (646) 988-2840

Location 4504 W 158th St Fl 5New York, NY 10032-7202 · Phone (917) 521-3130 ext. 3130

Location 594-98 Manhattan AvenueBrooklyn, NY 11206 · Phone (718) 388-0390 · Fax (718) 486-5741

Location 64215 3rd Ave Fl 2Bronx, NY 10457-4501 · Phone (718) 294-5891 · Fax (718) 294-2468

Location 7975 Westchester AveBronx, NY 10459-3204 · Phone (718) 320-4466 · Fax (718) 991-3829

Location 836-11 21st StLong Island City, NY 11106-4505 · Phone (718) 482-7772 · Fax (718) 482-9648

Location 989-44 164th StJamaica, NY 11432-6103 · Phone (718) 523-2123 · Fax (718) 523-5833

Location 10350 Grand St Rm 240New York, NY 10002-4629 · Phone (212) 634-7550 ext. 7556

Location 11511 W 157TH STNew York, NY 10032-5058 · Phone (212) 781-7979 · Fax (212) 781-7963

Location 1281 W 115th StNew York, NY 10026-3138 · Phone (212) 426-0088 · Fax (212) 426-8367

Location 13700 Broadway Ste 136Westwood, NJ 07675-1674 · Phone (551) 265-4342

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lakeisha N Nicholls Np 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 ID3375910862

PECOS Enrollment IDI20221123000159

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 10002 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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 6

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

ELLEN HOLLANDER-SANDE FNP

Nurse Practitioner (Family)