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MARY E NICHOLS CRNP
NPI 1407902299
Nurse Practitioner - Adult Health in Rockville, MD

Active since January 26, 2007PECOS Enrolled
15005 SHADY GROVE RD STE 450, ROCKVILLE, MD 20850(301) 738-6420(301) 738-2215 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary E Nichols Crnp NPPES

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

MARY E NICHOLS CRNP (NPI 1407902299) is an individual adult health provider in Rockville, Maryland, licensed in Maryland (R071024) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407902299
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY E NICHOLSCredential: CRNP
Location Address15005 SHADY GROVE RD STE 450Rockville, MD 20850-6377
Mailing Address15005 Shady Grove Rd Ste 450Rockville, MD 20850-6377 · (301) 738-6420 · Fax (301) 738-2215
Phone(301) 738-6420
Fax(301) 738-2215
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407902299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MD · R071024
15005 SHADY GROVE RD STE 450, Rockville, MD 20850
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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 (PECOS)

Mary E Nichols Crnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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

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

GOLD PEDIATRICS, LLC
Pediatrics
15005 SHADY GROVE RD STE 450
ROCKVILLE, MD 20850
Montgomery County (301) 517-9710

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 Mary Nichols's NPI number?

The NPI number for Mary Nichols is 1407902299. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Mary Nichols located?

Mary Nichols practices at 15005 Shady Grove Rd Ste 450, Rockville, MD 20850. The listed phone number is (301) 738-6420.

What is Mary Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Nichols enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Nichols was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.