MRS. AMY MARIE NICHOLS PA-C
NPI 1417188475
Physician Assistant - Medical in West Palm Beach, FL

Q: What is Amy Nichols's NPI number?

The NPI number for Amy Nichols is 1417188475. It was assigned to this individual provider in the NPPES registry on August 7, 2009.

Q: What is Amy Nichols's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Amy Nichols was last updated on March 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 07, 2009PECOS EnrolledAccepts Medicare Assignment

1590 S CONGRESS AVE, WEST PALM BEACH, FL 33406(561) 966-1000(561) 432-0618 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Amy Marie Nichols Pa-c NPPES

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

MRS. AMY MARIE NICHOLS PA-C (NPI 1417188475) is an individual medical provider in West Palm Beach, Florida, licensed in Florida (PA9104748) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1417188475

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. AMY MARIE NICHOLSCredential: PA-C

Location Address1590 S CONGRESS AVEWest Palm Beach, FL 33406-5957

Mailing Address1590 S Congress AveWest Palm Beach, FL 33406-5957 · (561) 966-1000 · Fax (561) 432-0618

Phone(561) 966-1000

Fax(561) 432-0618

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 7, 2009

Last NPPES UpdateMarch 17, 2015

✔ NPI 1417188475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9104748

1590 S CONGRESS AVE, West Palm Beach, FL 33406

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Mrs. Amy Marie Nichols 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 ID1456530286

PECOS Enrollment IDI20110126000672

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

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.

22 services22 patients

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Other Providers at the Same Location NPPES 8

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

LISA A TOMSAK DO

Internal Medicine (Addiction Medicine)

1590 S CONGRESS AVE
PALM SPRINGS, FL 33406

Palm Beach County (570) 466-5757

INTERNAL MEDICINE GROUP

Internal Medicine