Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY NICHOLS
NPI 1346179298
Nurse Practitioner - Family in Louisville, KY

Q: What is Kimberly Nichols's NPI number?

The NPI number for Kimberly Nichols is 1346179298. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Q: What is Kimberly Nichols's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Nichols was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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 18, 2026PECOS EnrolledAccepts Medicare Assignment

2100 MILLVALE RD, LOUISVILLE, KY 40205(443) 383-9300 Get Directions Write a Review

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

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About Kimberly Nichols NPPES

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

KIMBERLY NICHOLS (NPI 1346179298) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (4059926) and active in the NPI registry since May 2026. The provider is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1346179298

Entity TypeIndividual

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY NICHOLS

Location Address2100 MILLVALE RDLouisville, KY 40205-1604

Mailing Address909 Ridgebrook Rd Ste 300Sparks, MD 21152-9477

Phone(443) 383-9300

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateMay 18, 2026

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1346179298 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 KY · 4059926

2100 MILLVALE RD, Louisville, KY 40205

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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

Kimberly Nichols 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 ID4789158288

PECOS Enrollment IDI20260707000403

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 40205 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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