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MR. KARLTON E NICHOLSON I PMHMP
NPI 1225513138
Nurse Practitioner - Psychiatric/Mental Health in Goodyear, AZ

Active since September 26, 2018PECOS EnrolledAccepts Medicare Assignment
1360 N BULLARD AVE STE 200, GOODYEAR, AZ 85395(480) 849-7705 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Jun 15, 2024, Sep 26, 2018 (3 updates tracked since 2018).

About Mr. Karlton E Nicholson I Pmhmp NPPES

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

MR. KARLTON E NICHOLSON I PMHMP (NPI 1225513138) is an individual psychiatric/mental health provider in Goodyear, Arizona, licensed in Arizona (218165) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225513138
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. KARLTON E NICHOLSON ICredential: PMHMP
Location Address1360 N BULLARD AVE STE 200Goodyear, AZ 85395-2711
Mailing Address1360 N Bullard Ave Ste 200Goodyear, AZ 85395-2744 · (480) 849-7705 · Fax (623) 263-2917
Phone(480) 849-7705
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 26, 2018
Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1225513138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in AZ · 218165✔ Licensed in AZ · RN177663
1360 N BULLARD AVE STE 200, Goodyear, AZ 85395
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

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

Mr. Karlton E Nicholson I Pmhmp 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 ID7113456195
PECOS Enrollment IDI20250206003043
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 85395 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 5

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

JULIE MARIE KENT-PARTRIDGE
Social Worker
1360 N BULLARD AVE STE 200
GOODYEAR, AZ 85395
Maricopa County (520) 336-0305
ALTHEIN L NICHOLSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1360 N BULLARD AVE STE 200
GOODYEAR, AZ 85395
Maricopa County (623) 282-4586
DIVINE INTERVENTIONAL PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1360 N BULLARD AVE STE 200
GOODYEAR, AZ 85395
Maricopa County (310) 940-2265
MRS. SARAH ELLEN KIRCHER LMSW
Social Worker (Clinical)
1360 N BULLARD AVE STE 200
GOODYEAR, AZ 85395
Maricopa County (602) 201-0719
QUALITY MENTAL HEALTH SERVICES QMHS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1360 N BULLARD AVE STE 200
GOODYEAR, AZ 85395
Maricopa County (623) 282-4586

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 Karlton Nicholson's NPI number?

The NPI number for Karlton Nicholson is 1225513138. It was assigned to this individual provider in the NPPES registry on September 26, 2018.

Where is Karlton Nicholson located?

Karlton Nicholson practices at 1360 N Bullard Ave Ste 200, Goodyear, AZ 85395. The listed phone number is (480) 849-7705.

What is Karlton Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Karlton Nicholson enrolled in Medicare?

Yes. Karlton Nicholson 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.

What insurance does Karlton Nicholson accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Karlton Nicholson 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 Karlton Nicholson was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.