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

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: October 18, 2026.

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
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

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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kimberly Nichols reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
2201 MAIN ST
Evanston, IL 60202
  • Reassigned Medicare billing, Illinois enrollment
  • 73 clinicians in this Medicare group
Surgery
1901 N ROSELLE RD STE 800
Schaumburg, IL 60195
  • Reassigned Medicare billing, Illinois enrollment
  • 91 clinicians in this Medicare group
Surgery
8403 COLESVILLE RD STE 1100
Silver Spring, MD 20910
  • Reassigned Medicare billing, Tennessee enrollment
  • 14 clinicians in this Medicare group
Surgery
909 RIDGEBROOK RD STE 220
Sparks, MD 21152
  • Reassigned Medicare billing, Kentucky enrollment
  • 49 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 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.

Skilled Nursing Facility
2100 MILLVALE RD
LOUISVILLE, KY 40205
Nurse Practitioner (Family)
2100 MILLVALE RD
LOUISVILLE, KY 40205
Nurse Practitioner (Adult Health)
2100 MILLVALE RD
LOUISVILLE, KY 40205
Nurse Practitioner (Family)
2100 MILLVALE RD
LOUISVILLE, KY 40205
Nurse Practitioner
2100 MILLVALE RD
LOUISVILLE, KY 40205
Skilled Nursing Facility
2100 MILLVALE RD
LOUISVILLE, KY 40205
Nurse Practitioner (Family)
2100 MILLVALE RD
LOUISVILLE, KY 40205
Occupational Therapist
2100 MILLVALE RD
LOUISVILLE, KY 40205

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 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.

Where is Kimberly Nichols located?

Kimberly Nichols practices at 2100 Millvale Rd, Louisville, KY 40205. The listed phone number is (443) 383-9300.

What is Kimberly Nichols's specialty?

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

Is Kimberly Nichols enrolled in Medicare?

Yes. Kimberly 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 Kimberly Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Nichols reassigns Medicare benefits to 4 organizations: Trio Health Medical Il Np Partners PLLC (Evanston, IL), Senf Np Family Medicine PLLC (Schaumburg, IL), Consonant Healing Medical Associates (Silver Spring, MD) and Consonant Healing Associates Of De LLC (Sparks, MD). 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 Kimberly Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 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.