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

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: October 18, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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 IDI20240321003343
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 Lakeisha Nicholls reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bergen County Improvement Authority
17 mi
Internal Medicine
230 E RIDGEWOOD AVE
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 120 clinicians in this Medicare group
NPI 1891836441 (201) 967-4000

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 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 7

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

ELLEN HOLLANDER-SANDE FNP
Nurse Practitioner (Family)
255 E HOUSTON ST
NEW YORK, NY 10002
New York County (212) 477-1120
DR. DAVID JOHN DAVIS II D.O.
Family Medicine
255 E HOUSTON ST
NEW YORK, NY 10002
New York County (212) 477-1120
TENDAI S HINDS LMSW
Social Worker
255 E HOUSTON ST
NEW YORK, NY 10002
New York County (212) 477-1120
COMMUNITY HEALTHCARE NETWORK, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
255 E HOUSTON ST
NEW YORK, NY 10002
New York County (212) 477-1120
MADELINE KENLER
Nurse Practitioner (Family)
255 E HOUSTON ST
NEW YORK, NY 10002
New York County (212) 477-1120
JEROME VALENCIA LMSW
Social Worker
255 E HOUSTON ST
NEW YORK, NY 10002
New York County (212) 477-1120
SURONG LI RD
Dietitian, Registered
255 E HOUSTON ST
NEW YORK, NY 10002
New York County (212) 477-1120

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 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.

Where is Lakeisha Nicholls located?

Lakeisha Nicholls practices at 255 E Houston St, New York, NY 10002. The listed phone number is (212) 477-1120.

What is Lakeisha Nicholls's specialty?

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

Is Lakeisha Nicholls enrolled in Medicare?

Yes. Lakeisha Nicholls 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 organization bills Medicare for Lakeisha Nicholls's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lakeisha Nicholls reassigns Medicare benefits to Bergen County Improvement Authority (Paramus, NJ). 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 Lakeisha Nicholls'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 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.