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MRS. HAYLEY SUMNER NICHOLS APRN
NPI 1396422473
Nurse Practitioner - Family in Blountstown, FL

Active since June 30, 2023PECOS EnrolledAccepts Medicare Assignment
16729 SW GASKIN ST, BLOUNTSTOWN, FL 32424(850) 643-8001 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Hayley Sumner Nichols Aprn NPPES

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

MRS. HAYLEY SUMNER NICHOLS APRN (NPI 1396422473) is an individual family provider in Blountstown, Florida, licensed in Florida (APRN11027256) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396422473
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. HAYLEY SUMNER NICHOLSCredential: APRN
Location Address16729 SW GASKIN STBlountstown, FL 32424-2149
Mailing Address16729 Sw Gaskin StBlountstown, FL 32424-2149 · (850) 643-8001
Phone(850) 643-8001
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 30, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1396422473 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 FL · APRN11027256
16729 SW GASKIN ST, Blountstown, FL 32424
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, 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. Hayley Sumner Nichols Aprn 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 ID9739533258
PECOS Enrollment IDI20231002001977
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 Reassignment

Medicare enrollment records show Hayley Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Calhoun-Liberty Hospital Association Inc
0.7 mi
Emergency Care
16257 STATE ROAD 71 S
Blountstown, FL 32424
  • Reassigned Medicare billing, Florida enrollment
  • Also billed through NPI 1033434196 (Florida)
  • 24 clinicians in this Medicare group
NPI 1649596784 (850) 674-5411

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 32424 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Hayley Nichols's NPI number?

The NPI number for Hayley Nichols is 1396422473. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Hayley Nichols located?

Hayley Nichols practices at 16729 SW Gaskin St, Blountstown, FL 32424. The listed phone number is (850) 643-8001.

What is Hayley Nichols's specialty?

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

Is Hayley Nichols enrolled in Medicare?

Yes. Hayley 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 organization bills Medicare for Hayley Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hayley Nichols reassigns Medicare benefits to Calhoun-Liberty Hospital Association Inc (Blountstown, FL). The 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 Hayley Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hayley Nichols accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Hayley 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.

When was this NPI record last updated?

The NPPES record for Hayley Nichols was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.