DR. JULIE PANDORA NICKLES D.O.
NPI 1285665570
Family Medicine in Wilkes Barre, PA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
175 S WILKES BARRE BLVD, WILKES BARRE, PA 18702(570) 829-2621(570) 823-4332 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Julie Pandora Nickles D.o. NPPES

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

DR. JULIE PANDORA NICKLES D.O. (NPI 1285665570) is an individual family medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS004879L) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Geisinger Wyoming Valley Medical Center, and maintains a secondary practice location in Oceanside.

NPPES Registry Identity

NPI1285665570
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JULIE PANDORA NICKLESCredential: D.O.
Location Address175 S WILKES BARRE BLVDWilkes Barre, PA 18702-5040
Mailing Address100 N Academy AveDanville, PA 17822-9800 · (570) 271-6144
Fax(570) 823-4332
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
NPI 1285665570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS004879L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
175 S WILKES BARRE BLVD, Wilkes Barre, PA 18702

Secondary Practice Location 1

Location 14318 Mission AveOceanside, CA 92057-6541 · Phone (760) 901-5010 · Fax (760) 722-2204

Other Identifiers 5

Other02713300PA · Capital Blue Cross
Other0459530PA · Aetna
Other22143PA · Geisinger Health Plan
Other431452PA · Capital Blue Shield
Other2713300PA · Khp Central

Accepted 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. Julie Pandora Nickles D.o. 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 ID5496913428
PECOS Enrollment IDI20120222000817
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$206.51 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 20

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

Pharmacist (Pharmacotherapy)
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Pharmacist
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Family Medicine
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Pharmacist (Pharmacotherapy)
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Physician Assistant
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Pharmacist
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Physician Assistant
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702
Pharmacy (Community/Retail Pharmacy)
175 S WILKES BARRE BLVD
WILKES BARRE, PA 18702

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 Julie Nickles's NPI number?

The NPI number for Julie Nickles is 1285665570. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Julie Nickles located?

Julie Nickles practices at 175 S Wilkes Barre Blvd, Wilkes Barre, PA 18702. The listed phone number is (570) 829-2621.

What is Julie Nickles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Julie Nickles enrolled in Medicare?

Yes. Julie Nickles 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 Julie Nickles accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Julie Nickles 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.

Is Julie Nickles affiliated with any hospitals?

According to CMS data, Julie Nickles is affiliated with Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Julie Nickles was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.