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GINA M NICKELS-NELSON FNP
NPI 1376526921
Nurse Practitioner - Family in Tyler, TX

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1000 E 5TH ST STE 200, TYLER, TX 75701(903) 747-9600(903) 747-9601 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2022, Sep 11, 2020 (2 updates tracked since 2020).

About Gina M Nickels-nelson Fnp NPPES

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

GINA M NICKELS-NELSON FNP (NPI 1376526921) is an individual family provider in Tyler, Texas, licensed in Texas (1007313) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with The University Of Texas Health Science Center At Tyler, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376526921
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGINA M NICKELS-NELSONCredential: FNP
Location Address1000 E 5TH ST STE 200Tyler, TX 75701-3313
Mailing Address1000 E 5th St Ste 200Tyler, TX 75701-3313 · (903) 747-9600 · Fax (903) 747-9601
Phone(903) 747-9600
Fax(903) 747-9601
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 28, 2005
Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1376526921 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 TX · 1007313
1000 E 5TH ST STE 200, Tyler, TX 75701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Gina M Nickels-nelson Fnp 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 ID5294630786
PECOS Enrollment IDI20220811001878
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 2

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 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.
32 services29 patients
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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

JONATHAN WILLIAM BUTTRAM MD
Allergy & Immunology
1000 E 5TH ST STE 200
TYLER, TX 75701
Smith County (903) 747-9600
JENNIFER LYNNE DAVIS FNP-C
Nurse Practitioner
1000 E 5TH ST STE 200
TYLER, TX 75701
Smith County (903) 747-9600

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 Gina Nickels-nelson's NPI number?

The NPI number for Gina Nickels-nelson is 1376526921. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Gina Nickels-nelson located?

Gina Nickels-nelson practices at 1000 E 5th St Ste 200, Tyler, TX 75701. The listed phone number is (903) 747-9600.

What is Gina Nickels-nelson's specialty?

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

Is Gina Nickels-nelson enrolled in Medicare?

Yes. Gina Nickels-nelson 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 Gina Nickels-nelson accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Gina Nickels-nelson 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 Gina Nickels-nelson affiliated with any hospitals?

According to CMS data, Gina Nickels-nelson is affiliated with The University Of Texas Health Science Center At Tyler.

When was this NPI record last updated?

The NPPES record for Gina Nickels-nelson was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.