MELISSA RENEE NICKOLS PA-C
NPI 1396238499
Physician Assistant in Columbia, MD

Q: What is Melissa Nickols's NPI number?

The NPI number for Melissa Nickols is 1396238499. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Q: What is Melissa Nickols's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Nickols was last updated on March 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment

80.82/100

CMS Quality Rating

7120 MINSTREL WAY STE 100, COLUMBIA, MD 21045(410) 290-6677 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2026, Jun 13, 2018 (2 updates tracked since 2018).

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About Melissa Renee Nickols Pa-c NPPES

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

MELISSA RENEE NICKOLS PA-C (NPI 1396238499) is an individual physician assistant in Columbia, Maryland, licensed in Maryland (C0007235) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1396238499

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMELISSA RENEE NICKOLSCredential: PA-C

Location Address7120 MINSTREL WAY STE 100Columbia, MD 21045-5274

Mailing Address7120 Minstrel Way Ste 100Columbia, MD 21045-5274

Phone(410) 290-6677

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 13, 2018

Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration

NPPES CertifiedMarch 13, 2026

✔ NPI 1396238499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MD · C0007235

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7120 MINSTREL WAY STE 100, Columbia, MD 21045

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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

Melissa Renee Nickols Pa-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 ID2860749694

PECOS Enrollment IDI20200127001437, I20260420001218

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.

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21045 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

Most-billed visit code 99213

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.

80.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

61.63

Promoting Interoperability

100

Improvement Activities

Cost

74.45

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Other Providers at the Same Location NPPES 16

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

JENNIE MARIE ROBINSON CRNP

Nurse Practitioner