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DR. KATHLEEN A NICHOLS MD
NPI 1245241215
Internal Medicine in Avondale, AZ

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
13055 W MCDOWELL RD, SUITE E-106, AVONDALE, AZ 85392(623) 975-8400(623) 935-2975 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kathleen A Nichols Md NPPES

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

DR. KATHLEEN A NICHOLS MD (NPI 1245241215) is an individual internal medicine provider in Avondale, Arizona, licensed in Arizona (AZ26993) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (1996).

NPPES Registry Identity

NPI1245241215
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KATHLEEN A NICHOLSCredential: MD
Location Address13055 W MCDOWELL RD, SUITE E-106Avondale, AZ 85392-6449
Mailing Address13055 W Mcdowell Rd, Suite E-106Avondale, AZ 85392-6449 · (623) 975-8400 · Fax (623) 935-2975
Phone(623) 975-8400
Fax(623) 935-2975
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1996
Enumeration DateAugust 11, 2006
Last NPPES UpdateJune 8, 2015
✔ NPI 1245241215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · AZ26993
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License AZ26993 (AZ)
13055 W MCDOWELL RD, Avondale, AZ 85392
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Other Identifiers 3

Medicare UPINH24006AZ
Medicare ID-Type Unspecified66530AZ
Medicaid517675AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, 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

Dr. Kathleen A Nichols Md 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 ID5698743078
PECOS Enrollment IDI20040923000179
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
144 services88 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
77 services77 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
76 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
73 services73 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85392 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers18 claims40 services$6.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

MR. AARON MICHAEL SPIVEY PT
Physical Therapist
13055 W MCDOWELL RD, SUITE G-107
AVONDALE, AZ 85392
Maricopa County (623) 547-4787
MR. MARK RICHARD LANGENBACH P.T., M.B.A., O.C.S.
Physical Therapist
13055 W MCDOWELL RD, SUITE G-107
AVONDALE, AZ 85392
Maricopa County (623) 547-4787
DIALYSIS NEWCO LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
13055 W MCDOWELL RD, SUITE 101F
AVONDALE, AZ 85392
Maricopa County (623) 935-5460
MRS. REBEKAH SUZANNE GIBBS P.T., D.P.T
Physical Therapist
13055 W MCDOWELL RD, #G-107
AVONDALE, AZ 85392
Maricopa County (623) 547-4787
VERSATILE MEDICINE PLLC
Internal Medicine
13055 W MCDOWELL RD, SUITE E-106
AVONDALE, AZ 85392
Maricopa County (623) 975-8400
DAVID R PEARCE
Physical Therapist
13055 W MCDOWELL RD
AVONDALE, AZ 85392
Maricopa County (928) 970-0957
MR. BRIAN PHAN RPH
Pharmacist
13055 W MCDOWELL RD, BLDG E STE 103
AVONDALE, AZ 85392
Maricopa County (623) 535-5822
MARTHA MASON
Counselor
13055 W MCDOWELL RD, SUITE G-112
AVONDALE, AZ 85392
Maricopa County (623) 792-5021

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 Kathleen Nichols's NPI number?

The NPI number for Kathleen Nichols is 1245241215. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Kathleen Nichols located?

Kathleen Nichols practices at 13055 W Mcdowell Rd Suite E-106, Avondale, AZ 85392. The listed phone number is (623) 975-8400.

What is Kathleen Nichols's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kathleen Nichols enrolled in Medicare?

Yes. Kathleen Nichols 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 Kathleen Nichols accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Kathleen Nichols 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 Kathleen Nichols was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.