KRISTIE BETH NICHOLS MD
NPI 1154483501
Family Medicine in Conshohocken, PA

Active since December 14, 2006PECOS Enrolled
1100 E HECTOR ST, SUITE 105, CONSHOHOCKEN, PA 19428(610) 828-2608(610) 828-0102 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristie Beth Nichols Md NPPES

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

KRISTIE BETH NICHOLS MD (NPI 1154483501) is an individual family medicine provider in Conshohocken, Pennsylvania, licensed in Pennsylvania (MD435394) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2006).

NPPES Registry Identity

NPI1154483501
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTIE BETH NICHOLSCredential: MD
Location Address1100 E HECTOR ST, SUITE 105Conshohocken, PA 19428-2374
Mailing Address1100 E Hector St, Suite 105Conshohocken, PA 19428-2374 · (610) 828-2608 · Fax (610) 828-0102
Fax(610) 828-0102
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2006
Enumeration DateDecember 14, 2006
Last NPPES UpdateSeptember 30, 2015
NPI 1154483501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD435394
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1100 E HECTOR ST, Conshohocken, PA 19428

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kristie Beth Nichols Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375699317
PECOS Enrollment IDI20211029000702
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 19428 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 4

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

Registered Nurse (Diabetes Educator)
1100 E HECTOR ST, SUITE 223
CONSHOHOCKEN, PA 19428
Family Medicine
1100 E HECTOR ST, SUITE 105
CONSHOHOCKEN, PA 19428
Family Medicine
1100 E HECTOR ST, STE 105
CONSHOHOCKEN, PA 19428
Clinic/Center (Medical Specialty)
1100 E HECTOR ST, SUITE 223
CONSHOHOCKEN, PA 19428

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 Kristie Nichols's NPI number?

The NPI number for Kristie Nichols is 1154483501. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Kristie Nichols located?

Kristie Nichols practices at 1100 E Hector St Suite 105, Conshohocken, PA 19428. The listed phone number is (610) 828-2608.

What is Kristie Nichols's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristie Nichols enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristie Nichols was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.