MR. JOHN THOMAS NICHOLS CRNP
NPI 1316598279
Nurse Practitioner - Family in Birmingham, AL

Active since September 23, 2019PECOS EnrolledAccepts Medicare Assignment
81.03/100
CMS Quality Rating
3680 GRANDVIEW PKWY STE 200, BIRMINGHAM, AL 35243(205) 971-7500(205) 971-7571 Get Directions Write a Review

NPPES record last updated: August 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2025, May 12, 2021, Sep 23, 2019 (3 updates tracked since 2019).

About Mr. John Thomas Nichols Crnp NPPES

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

MR. JOHN THOMAS NICHOLS CRNP (NPI 1316598279) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-098052) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1316598279
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOHN THOMAS NICHOLSCredential: CRNP
Location Address3680 GRANDVIEW PKWY STE 200Birmingham, AL 35243-3411
Mailing Address3159 Sawyer DrHoover, AL 35226-7002 · (334) 654-1409 · Fax (205) 971-7571
Fax(205) 971-7571
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 23, 2019
Last NPPES UpdateAugust 10, 20253 updates tracked since enumeration
NPPES CertifiedAugust 10, 2025
NPI 1316598279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-098052
3680 GRANDVIEW PKWY STE 200, Birmingham, AL 35243

Secondary Practice Location 1

Location 13980 Colonnade PkwyBirmingham, AL 35243-2382 · Phone (205) 510-5000

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

Mr. John Thomas Nichols Crnp 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 ID5698109064
PECOS Enrollment IDI20191218002522
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
19 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.68
Promoting Interoperability100
Improvement Activities40
Cost66.08

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.

Internal Medicine (Interventional Cardiology)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Nurse Practitioner
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Internal Medicine (Clinical Cardiac Electrophysiology)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Internal Medicine (Interventional Cardiology)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Nurse Practitioner (Family)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Nurse Practitioner (Family)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Nurse Practitioner (Acute Care)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243
Internal Medicine (Cardiovascular Disease)
3680 GRANDVIEW PKWY STE 200
BIRMINGHAM, AL 35243

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 John Nichols's NPI number?

The NPI number for John Nichols is 1316598279. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is John Nichols located?

John Nichols practices at 3680 Grandview Pkwy Ste 200, Birmingham, AL 35243. The listed phone number is (205) 971-7500.

What is John Nichols's specialty?

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

Is John Nichols enrolled in Medicare?

Yes. John Nichols 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 John Nichols accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list John 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 John Nichols was last updated on August 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.