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MRS. TONYA SMITH NICHOLS FNP-C
NPI 1366819807
Nurse Practitioner - Family in Greensboro, NC

Active since September 01, 2015PECOS EnrolledAccepts Medicare Assignment
509 N ELAM AVE STE 3E, GREENSBORO, NC 27403(336) 832-1970(336) 832-1988 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Sep 28, 2015 (2 updates tracked since 2015).

About Mrs. Tonya Smith Nichols Fnp-c NPPES

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

MRS. TONYA SMITH NICHOLS FNP-C (NPI 1366819807) is an individual family provider in Greensboro, North Carolina, licensed in North Carolina (5007925) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and maintains a secondary practice location in Mount Airy.

NPPES Registry Identity

NPI1366819807
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TONYA SMITH NICHOLSCredential: FNP-C
Location Address509 N ELAM AVE STE 3EGreensboro, NC 27403-1129
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 719-6100
Phone(336) 832-1970
Fax(336) 832-1988
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 1, 2015
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1366819807 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 NC · 5007925
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5007925 (NC)
509 N ELAM AVE STE 3E, Greensboro, NC 27403
Open in Google Maps ↗

Secondary Practice Location 1

Location 1865 W Lake DrMount Airy, NC 27030-2157 · Phone (336) 719-6100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and more.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

Mrs. Tonya Smith Nichols Fnp-c 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 ID8628388196
PECOS Enrollment IDI20151112002373
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

3

Medicare enrollment records show Tonya Nichols reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Moses H. Cone Memorial Hospital Operating Corporation
1.1 mi
Internal Medicine
509-E NORTH ELAM AVENUE, 3RD FLOOR
Greensboro, NC 27403
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1356372064 (North Carolina), NPI 1487116968 (North Carolina)
  • 835 clinicians in this Medicare group
NPI 1013265909 (336) 832-1970
Moses Cone Physician Services, Inc.
1.8 mi
Family Medicine
1307 W WENDOVER AVE
Greensboro, NC 27408
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
NPI 1174049027 (336) 832-3110
Moses Cone Medical Services, Inc.
2.7 mi
Internal Medicine
1200 N ELM ST
Greensboro, NC 27401
  • Reassigned Medicare billing, North Carolina enrollment
  • 351 clinicians in this Medicare group
NPI 1427095249 (336) 832-9943

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.

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.
97 services46 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
37 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27403 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
91%167 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
69%215 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%268 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
56%103 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
1%137 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers36 claims36 services$66.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SUSAN PORTER LCSW
Social Worker (Clinical)
509 N ELAM AVE STE 3E
GREENSBORO, NC 27403
Guilford County (336) 832-1970

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 Tonya Nichols's NPI number?

The NPI number for Tonya Nichols is 1366819807. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Tonya Nichols located?

Tonya Nichols practices at 509 N Elam Ave Ste 3E, Greensboro, NC 27403. The listed phone number is (336) 832-1970.

What is Tonya Nichols's specialty?

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

Is Tonya Nichols enrolled in Medicare?

Yes. Tonya 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 Tonya Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Nichols reassigns Medicare benefits to 3 organizations: The Moses H. Cone Memorial Hospital Operating Corporation (Greensboro, NC), Moses Cone Physician Services, Inc. (Greensboro, NC) and Moses Cone Medical Services, Inc. (Greensboro, NC). 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 Tonya Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Nichols accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Tonya 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.

Is Tonya Nichols affiliated with any hospitals?

According to CMS data, Tonya Nichols is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Tonya Nichols was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.