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AUDREA LYNNE NICHOLSON
NPI 1285389320
Social Worker in Bakersfield, CA

Active since February 17, 2022PECOS Enrolled
100 OLD RIVER RD STE 150, BAKERSFIELD, CA 93311(661) 342-4538 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2026, Mar 17, 2026, Feb 5, 2026 and 3 more (6 updates tracked since 2022).

About Audrea Lynne Nicholson NPPES

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

AUDREA LYNNE NICHOLSON (NPI 1285389320) is an individual social worker in Bakersfield, California, licensed in California (107535) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285389320
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameAUDREA LYNNE NICHOLSON
Location Address100 OLD RIVER RD STE 150Bakersfield, CA 93311-8334
Mailing Address100 Old River Rd Ste 150Bakersfield, CA 93311-8334 · (661) 342-4538
Phone(661) 342-4538
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 17, 2022
Last NPPES UpdateMarch 27, 20266 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1285389320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CA · 107535
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
100 OLD RIVER RD STE 150, Bakersfield, CA 93311
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrea Lynne Nicholson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719443894
PECOS Enrollment IDI20260729001484
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 Audrea Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
207 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

MRS. LATOYA MARIE MITCHELL
Student in an Organized Health Care Education/Training Program
100 OLD RIVER RD STE 150
BAKERSFIELD, CA 93311
Kern County (661) 855-7455
JAQUELINE RATTERO PHROMTHEP
Student in an Organized Health Care Education/Training Program
100 OLD RIVER RD STE 150
BAKERSFIELD, CA 93311
Kern County (661) 855-7455
EILEEN ALICIA CORTEZ
Student in an Organized Health Care Education/Training Program
100 OLD RIVER RD STE 150
BAKERSFIELD, CA 93311
Kern County (661) 855-7455

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 Audrea Nicholson's NPI number?

The NPI number for Audrea Nicholson is 1285389320. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Where is Audrea Nicholson located?

Audrea Nicholson practices at 100 Old River Rd Ste 150, Bakersfield, CA 93311. The listed phone number is (661) 342-4538.

What is Audrea Nicholson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Audrea Nicholson enrolled in Medicare?

Yes. Audrea Nicholson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Audrea Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrea Nicholson reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). 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 Audrea Nicholson'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 Audrea Nicholson was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.