1. Home
  2. Directory
  3. Florida
  4. St Augustine
  5. Nurse Practitioner
  6. NPI Profile

JUDITH LYNN NICHOLS APRN
NPI 1255311528
Nurse Practitioner in St Augustine, FL

Active since January 20, 2006PECOS Enrolled
105 MARINER WAY, STE 203, ST AUGUSTINE, FL 32086(904) 342-2989(904) 824-6243 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2021, Aug 5, 2020, Sep 17, 2019 (3 updates tracked since 2019).

About Judith Lynn Nichols Aprn NPPES

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

JUDITH LYNN NICHOLS APRN (NPI 1255311528) is an individual nurse practitioner in St Augustine, Florida, licensed in Florida (APRN978502) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255311528
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJUDITH LYNN NICHOLSCredential: APRN
Location Address105 MARINER WAY, STE 203St Augustine, FL 32086
Mailing AddressPo Box 3123St Augustine, FL 32085-3123
Phone(904) 342-2989
Fax(904) 824-6243
Sole ProprietorNo
Enumeration DateJanuary 20, 2006
Last NPPES UpdateMay 4, 20213 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1255311528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN978502
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
105 MARINER WAY, St Augustine, FL 32086
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Lynn Nichols Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Judith Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Augustine Primary Care P L
3.8 mi
Family Medicine
811 STATE ROAD 206 E STE 3
St Augustine, FL 32086
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1760654370 (904) 342-2989

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 32086 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Judith Nichols's NPI number?

The NPI number for Judith Nichols is 1255311528. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Judith Nichols located?

Judith Nichols practices at 105 Mariner Way Ste 203, St Augustine, FL 32086. The listed phone number is (904) 342-2989.

What is Judith Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Judith Nichols enrolled in Medicare?

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

Which organization bills Medicare for Judith Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Nichols reassigns Medicare benefits to St Augustine Primary Care P L (St Augustine, FL). 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 Judith Nichols'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 Judith Nichols was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.