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DR. SHANTRICE BERNICE NICHOLS-BATES DNP, FNP-C
NPI 1245603844
Nurse Practitioner - Family in Jackson, MS

Active since November 04, 2015PECOS EnrolledAccepts Medicare Assignment
350 W WOODROW WILSON AVE STE 1010, JACKSON, MS 39213(769) 366-4719(769) 366-4717 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 15, 2026, Apr 23, 2026, Dec 18, 2024 and 2 more (5 updates tracked since 2022).

About Dr. Shantrice Bernice Nichols-bates Dnp, Fnp-c NPPES

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

DR. SHANTRICE BERNICE NICHOLS-BATES DNP, FNP-C (NPI 1245603844) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (901369) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245603844
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SHANTRICE BERNICE NICHOLS-BATESCredential: DNP, FNP-C
Location Address350 W WOODROW WILSON AVE STE 1010Jackson, MS 39213-7681
Mailing Address350 W Woodrow Wilson Ave Ste 1010Jackson, MS 39213-7681 · (769) 366-4719 · Fax (769) 366-4717
Phone(769) 366-4719
Fax(769) 366-4717
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 4, 2015
Last NPPES UpdateMay 15, 20265 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1245603844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MS · 901369✔ Licensed in OR · 201508267NP-PP✔ Licensed in GA · GAA-NP000049
350 W WOODROW WILSON AVE STE 1010, Jackson, MS 39213
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dr. Shantrice Bernice Nichols-bates Dnp, Fnp-c 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 ID9335449933
PECOS Enrollment IDI20260824000622
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 Reassignments

5

Medicare enrollment records show Shantrice Nichols-bates reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Journeycare Medical, LLC
Same address
Primary Care
350 W WOODROW WILSON AVE STE 1010
Jackson, MS 39213
  • Reassigned Medicare billing, Mississippi enrollment
NPI 1245170885 (601) 376-8019
Fast Pace Mississippi, PLLC
180 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206
Journeycare Family Medicine, LLC
343 mi
Family
126 N PARK DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
NPI 1932808094 (470) 316-8028
Wellbe Senior Medical Group Of Georgia, P. C.
351 mi
Internal Medicine
5 CONCOURSE PKWY STE 3100
Sandy Springs, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • 45 clinicians in this Medicare group
NPI 1205463163 (855) 492-7642
Py Medical Services Of Ga PC
381 mi
Internal Medicine
3051 WHITESIDE RD
Macon, GA 31216
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1790541647 (718) 709-0940

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 39213 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

JOURNEYCARE MEDICAL, LLC
Nurse Practitioner (Primary Care)
350 W WOODROW WILSON AVE STE 1010
JACKSON, MS 39213
Hinds County (601) 376-8019

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 Shantrice Nichols-bates's NPI number?

The NPI number for Shantrice Nichols-bates is 1245603844. It was assigned to this individual provider in the NPPES registry on November 4, 2015.

Where is Shantrice Nichols-bates located?

Shantrice Nichols-bates practices at 350 W Woodrow Wilson Ave Ste 1010, Jackson, MS 39213. The listed phone number is (769) 366-4719.

What is Shantrice Nichols-bates's specialty?

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

Is Shantrice Nichols-bates enrolled in Medicare?

Yes. Shantrice Nichols-bates 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 organizations bill Medicare for Shantrice Nichols-bates's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shantrice Nichols-bates reassigns Medicare benefits to 5 organizations: Journeycare Medical, LLC (Jackson, MS), Fast Pace Mississippi, PLLC (Ripley, MS), Journeycare Family Medicine, LLC (Fayetteville, GA), Wellbe Senior Medical Group Of Georgia, P. C. (Sandy Springs, GA) and Py Medical Services Of Ga PC (Macon, GA). Each 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 Shantrice Nichols-bates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shantrice Nichols-bates accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter of Alabama and 3 other insurers list Shantrice Nichols-bates 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 Shantrice Nichols-bates was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.