MR. JOHN THOMAS NICHOLS CRNP
NPI 1316598279
Nurse Practitioner - Family in Birmingham, AL
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show John Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35243
- Reassigned Medicare billing, Alabama enrollment
- 52 clinicians in this Medicare group
Talladega, AL 35160
- Reassigned Medicare billing, Alabama enrollment
- 430 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.
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.
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.
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.
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.
BIRMINGHAM, AL 35243
BIRMINGHAM, AL 35243
BIRMINGHAM, AL 35243
BIRMINGHAM, AL 35243
BIRMINGHAM, AL 35243
BIRMINGHAM, AL 35243
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.
Which organizations bill Medicare for John Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Nichols reassigns Medicare benefits to 2 organizations: Affinity Cardiovascular Specialists LLC (Birmingham, AL) and Baptist Health Centers, LLC (Talladega, AL). 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 John Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Nichols accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company 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 14 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.
# Mr. John Thomas Nichols, CRNP · NPI 1316598279
Family physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since September 23, 2019.
## Identity
- **NPI:** 1316598279 (Entity type: Individual)
- **Enumerated:** September 23, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-098052 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 3680 GRANDVIEW PKWY STE 200, Birmingham, AL 35243-3411
- **Phone:** (205) 971-7500 · **Fax:** (205) 971-7571
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Affinity Cardiovascular Specialists LLC (NPI 1215305925, Birmingham, AL); Baptist Health Centers, LLC (NPI 1184688244, Talladega, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316598279) · Data from the CMS NPPES public registry.