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DR. KATHERINE MARIE NICHOLS M.D.
NPI 1295991313
Pediatrics - Pediatric Emergency Medicine in Louisville, KY

Active since July 29, 2008PECOS Enrolled
100 MALLARD CREEK RD, STE 406, LOUISVILLE, KY 40207(502) 895-4607(502) 895-4586 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 15, 2017, Jun 20, 2016 (2 updates tracked since 2016).

About Dr. Katherine Marie Nichols M.d. NPPES

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

DR. KATHERINE MARIE NICHOLS M.D. (NPI 1295991313) is an individual pediatric emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (44258) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295991313
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. KATHERINE MARIE NICHOLSCredential: M.D.
Location Address100 MALLARD CREEK RD, STE 406Louisville, KY 40207-4194
Mailing Address100 Mallard Creek Rd, Ste 406Louisville, KY 40207-4194 · (502) 895-4607 · Fax (502) 895-4586
Phone(502) 895-4607
Fax(502) 895-4586
Sole ProprietorNo
Enumeration DateJuly 29, 2008
Last NPPES UpdateMarch 15, 20172 updates tracked since enumeration
✔ NPI 1295991313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in KY · 44258
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 44258 (KY)
100 MALLARD CREEK RD, Louisville, KY 40207
Open in Google Maps ↗

Other Identifiers 5

Medicare PINK006342KY
Medicare PINK006340KY
Medicaid7100164170KY
Medicare PINK006341KY
Medicaid201028960IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine Marie 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katherine Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Physicians, Inc.
0.5 mi
Neurological Surgery
3900 KRESGE WAY, #41
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1265781348 (502) 899-3623
Norton Children's Medical Group, LLC
5.7 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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 20

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

ALEX WIEGEL DO
Family Medicine
100 MALLARD CREEK RD
LOUISVILLE, KY 40207
Jefferson County (502) 855-6130
MEDICAL CENTER CARDIOLOGISTS, PSC
Internal Medicine (Cardiovascular Disease)
100 MALLARD CREEK RD, SUITE 390
LOUISVILLE, KY 40207
Jefferson County (502) 899-1213
DAVID J. OVERLEY M.D.
Internal Medicine
100 MALLARD CREEK RD, STE. 320
LOUISVILLE, KY 40207
Jefferson County (502) 855-6125
CHAD C LANPHEAR AA
Anesthesiologist Assistant
100 MALLARD CREEK RD
LOUISVILLE, KY 40207
Jefferson County (502) 690-8782
ONE ANESTHESIA PLLC
Anesthesiology
100 MALLARD CREEK RD, SUITE 320
LOUISVILLE, KY 40207
Jefferson County (502) 473-2132
WILLIAM A. CURRIE M.D.
Internal Medicine
100 MALLARD CREEK RD, STE.320
LOUISVILLE, KY 40207
Jefferson County (502) 855-6125
GERASIMOS S STAVENS MD
Internal Medicine (Cardiovascular Disease)
100 MALLARD CREEK RD, SUITE 150
LOUISVILLE, KY 40207
Jefferson County (502) 589-7907
CARDIAC CARE CENTER OF LOUISVILLE, PLLC
Internal Medicine (Cardiovascular Disease)
100 MALLARD CREEK RD, SUITE 150
LOUISVILLE, KY 40207
Jefferson County (502) 721-9117

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 Katherine Nichols's NPI number?

The NPI number for Katherine Nichols is 1295991313. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Where is Katherine Nichols located?

Katherine Nichols practices at 100 Mallard Creek Rd Ste 406, Louisville, KY 40207. The listed phone number is (502) 895-4607.

What is Katherine Nichols's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Katherine Nichols enrolled in Medicare?

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

Which organizations bill Medicare for Katherine Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Nichols reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Katherine Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Nichols accept?

Health plans from CareSource list Katherine Nichols 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 Katherine Nichols was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.