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CONNIE CUMMINS NICHOLS FNP-BC
NPI 1316140866
Nurse Practitioner - Family in Wright Patterson Afb, OH

Active since June 11, 2007PECOS Enrolled
88MDG/SGHI 4881 SUGAR MAPLE DRIVE, WRIGHT PATTERSON AFB, OH 45433(937) 904-8395 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Connie Cummins Nichols Fnp-bc NPPES

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

CONNIE CUMMINS NICHOLS FNP-BC (NPI 1316140866) is an individual family provider in Wright Patterson Afb, Ohio, licensed in Ohio (NP09426) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1316140866
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCONNIE CUMMINS NICHOLSCredential: FNP-BC
Location Address88MDG/SGHI 4881 SUGAR MAPLE DRIVEWright Patterson Afb, OH 45433
Mailing Address88mdg/sghi 4881 Sugar Maple DriveWright Patterson Afb, OH 45433 · (937) 904-8395
Phone(937) 904-8395
Sole ProprietorNo
Enumeration DateJune 11, 2007
Last NPPES UpdateFebruary 17, 2020
✔ NPI 1316140866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · NP09426
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN285554 (OH)
88MDG/SGHI 4881 SUGAR MAPLE DRIVE, Wright Patterson Afb, OH 45433
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Secondary Practice Location 1

Location 17211 N Main StDayton, OH 45415-2566 · Phone (937) 274-2117 · Fax (937) 274-9809

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connie Cummins Nichols Fnp-bc 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 45433 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Connie Nichols's NPI number?

The NPI number for Connie Nichols is 1316140866. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Connie Nichols located?

Connie Nichols practices at 88mdg/Sghi 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433. The listed phone number is (937) 904-8395.

What is Connie Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Connie Nichols enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Connie Nichols was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.