LEA NICKOLAS FNP-BC
NPI 1306471644
Nurse Practitioner - Primary Care in Phoenix, AZ
About Lea Nickolas Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEA NICKOLAS FNP-BC (NPI 1306471644) is an individual primary care provider in Phoenix, Arizona, licensed in Arizona (256708) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lea Nickolas Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lea Nickolas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85004
- Reassigned Medicare billing, Arizona enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lea Nickolas's NPI number?
The NPI number for Lea Nickolas is 1306471644. It was assigned to this individual provider in the NPPES registry on March 6, 2020.
Where is Lea Nickolas located?
Lea Nickolas practices at 2601 N 3rd St Ste 212, Phoenix, AZ 85004. The listed phone number is (602) 888-6970.
What is Lea Nickolas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Lea Nickolas enrolled in Medicare?
Yes. Lea Nickolas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lea Nickolas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lea Nickolas reassigns Medicare benefits to Prisma Community Care (Phoenix, AZ). 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 Lea Nickolas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lea Nickolas accept?
Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Lea Nickolas 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 Lea Nickolas was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lea Nickolas, FNP-BC · NPI 1306471644
Primary Care physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since March 6, 2020.
## Identity
- **NPI:** 1306471644 (Entity type: Individual)
- **Enumerated:** March 6, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 256708 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 2601 N 3RD ST STE 212, Phoenix, AZ 85004-1145
- **Phone:** (602) 888-6970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prisma Community Care (NPI 1104929504, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306471644) · Data from the CMS NPPES public registry.