JACY ADAM NICHOLSON D.D.S.
NPI 1306282918
Dentist - General Practice in Vincennes, IN

Q: What is Jacy Nicholson's NPI number?

The NPI number for Jacy Nicholson is 1306282918. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Q: What is Jacy Nicholson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jacy Nicholson was last updated on May 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 22, 2013PECOS Enrolled

630 KIMMELL RD, SUITE C, VINCENNES, IN 47591(812) 316-2013 Get Directions Write a Review

NPPES record last updated: May 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jacy Adam Nicholson D.d.s. NPPES

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

JACY ADAM NICHOLSON D.D.S. (NPI 1306282918) is an individual general practice provider in Vincennes, Indiana, licensed in Indiana (12011947A) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306282918

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameJACY ADAM NICHOLSONCredential: D.D.S.

Location Address630 KIMMELL RD, SUITE CVincennes, IN 47591-6330

Mailing Address3676 W 200sJasper, IN 47546-8200 · (812) 661-0024

Phone(812) 316-2013

Sole ProprietorNo

Enumeration DateMay 22, 2013

✔ NPI 1306282918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12011947A

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

630 KIMMELL RD, Vincennes, IN 47591

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Jacy Adam Nicholson D.d.s. 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 47591 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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 Jacy Nicholson's NPI number?

The NPI number for Jacy Nicholson is 1306282918. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is Jacy Nicholson located?

Jacy Nicholson practices at 630 Kimmell Rd Suite C, Vincennes, IN 47591. The listed phone number is (812) 316-2013.

What is Jacy Nicholson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jacy Nicholson enrolled in Medicare?

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

What insurance does Jacy Nicholson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Indiana and HRI Dental & Vision and 4 other insurers list Jacy Nicholson 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 Jacy Nicholson was last updated on May 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.