DR. KODY A NICHOLS M.D.
NPI 1255726097
Pediatrics in Fayetteville, AR

Q: What is Kody Nichols's NPI number?

The NPI number for Kody Nichols is 1255726097. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Kody Nichols's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kody Nichols was last updated on March 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2015PECOS Enrolled

3380 N FUTRALL DR STE 1, FAYETTEVILLE, AR 72703(479) 442-7322(479) 442-7379 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2022, Jun 5, 2019 (2 updates tracked since 2019).

On this page

About Dr. Kody A Nichols M.d. NPPES

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

DR. KODY A NICHOLS M.D. (NPI 1255726097) is an individual pediatrics provider in Fayetteville, Arkansas, licensed in Arkansas (E-11455) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1255726097

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. KODY A NICHOLSCredential: M.D.

Location Address3380 N FUTRALL DR STE 1Fayetteville, AR 72703-4815

Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222

Phone(479) 442-7322

Fax(479) 442-7379

Sole ProprietorNo

Enumeration DateMarch 30, 2015

Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration

NPPES CertifiedMarch 15, 2024

✔ NPI 1255726097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AR · E-11455

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3380 N FUTRALL DR STE 1, Fayetteville, AR 72703

Open in Google Maps ↗

Secondary Practice Location 1

Location 13383 N Mana Ct Ste 101Fayetteville, AR 72703-4965 · Phone (479) 443-3471

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kody A Nichols M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

LAUREEN L. BENAFIELD MD

Pediatrics