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CARRIE J. NICHOLS M.D.
NPI 1407809189
Family Medicine in Camp Pendleton, CA

Active since May 17, 2006PECOS Enrolled
200 MERCY CIRCLE, FAMILY MEDICINE DEPT, CAMP PENDLETON, CA 92058(760) 719-3616(760) 725-1101 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 7, 2025, Mar 26, 2016 (2 updates tracked since 2016).

About Carrie J. Nichols M.d. NPPES

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

CARRIE J. NICHOLS M.D. (NPI 1407809189) is an individual family medicine provider in Camp Pendleton, California, licensed in California (A83442) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407809189
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCARRIE J. NICHOLSCredential: M.D.
Location Address200 MERCY CIRCLE, FAMILY MEDICINE DEPTCamp Pendleton, CA 92058
Mailing Address200 Mercy Circle, Family Medicine DeptCamp Pendleton, CA 92058 · (760) 719-3616 · Fax (760) 725-1101
Phone(760) 719-3616
Fax(760) 725-1101
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1407809189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A83442
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License A83442 (CA)
200 MERCY CIRCLE, Camp Pendleton, CA 92058
Open in Google Maps ↗

Other Identifiers 2

OtherA83442CA · Medical License
Medicaid00A834420CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrie J. Nichols M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Carrie Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Golden State Emergency Physicians Inc
76 mi
Emergency Medicine
1401 S GRAND AVE
Los Angeles, CA 90015
  • Reassigned Medicare billing, California enrollment
  • 169 clinicians in this Medicare group
NPI 1770886558 (855) 687-0618

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 92058 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 10

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

MCKENNAN A COOK MD
General Practice
200 MERCY CIRCLE
OCEANSIDE, CA 92058
San Diego County (719) 725-1288
LANDON KING M.D.
Surgery
200 MERCY CIRCLE
OCEANSIDE, CA 92058
San Diego County (760) 719-3695
DR. JORDAN WHITNEY LYONS
Family Medicine
200 MERCY CIRCLE
CAMP PENDLETON, CA 92058
San Diego County (760) 725-4357
MELISSA ANN LOPEZ DPT
Physical Therapist
200 MERCY CIRCLE
OCEANSIDE, CA 92058
San Diego County (760) 725-1780
SYDNEY MARIE DAVIS
Pharmacist
200 MERCY CIRCLE
OCEANSIDE, CA 92058
San Diego County (574) 387-0062
DR. ALEXANDER P DUNNUM DO
Anesthesiology
200 MERCY CIRCLE
OCEANSIDE, CA 92058
San Diego County (760) 725-1288
EVE SACHA POTEET DNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
200 MERCY CIRCLE
OCEANSIDE, CA 92058
San Diego County (760) 725-1288
EMMALEIGH PRICE R.T.(R)
Radiology (Diagnostic Radiology)
200 MERCY CIRCLE
OCEANSIDE, CA 92058
San Diego County (405) 588-3044

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 Carrie Nichols's NPI number?

The NPI number for Carrie Nichols is 1407809189. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Carrie Nichols located?

Carrie Nichols practices at 200 Mercy Circle Family Medicine Dept, Camp Pendleton, CA 92058. The listed phone number is (760) 719-3616.

What is Carrie Nichols's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carrie Nichols enrolled in Medicare?

Yes. Carrie Nichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carrie Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Nichols reassigns Medicare benefits to Golden State Emergency Physicians Inc (Los Angeles, CA). 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 Carrie 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 Carrie Nichols was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.