WILLIAM ALEX NICODEMUS FNP-C
NPI 1427565068
Nurse Practitioner - Family in Palestine, TX

Q: What is William Nicodemus's NPI number?

The NPI number for William Nicodemus is 1427565068. It was assigned to this individual provider in the NPPES registry on January 4, 2018.

Q: What is William Nicodemus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Nicodemus was last updated on May 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 04, 2018PECOS EnrolledAccepts Medicare Assignment

2900 S LOOP 256, PALESTINE, TX 75801(903) 731-1134 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About William Alex Nicodemus Fnp-c NPPES

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

WILLIAM ALEX NICODEMUS FNP-C (NPI 1427565068) is an individual family provider in Palestine, Texas, licensed in Texas (AP135915) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1427565068

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameWILLIAM ALEX NICODEMUSCredential: FNP-C

Location Address2900 S LOOP 256Palestine, TX 75801-6958

Mailing Address3120 Van Zant County Road 2318Canton, TX 75103 · (903) 479-3933 · Fax (903) 479-9333

Phone(903) 731-1134

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 4, 2018

Last NPPES UpdateMay 7, 2021

NPPES CertifiedApril 12, 2021

✔ NPI 1427565068 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 TX · AP135915

2900 S LOOP 256, Palestine, TX 75801

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

William Alex Nicodemus Fnp-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 ID4880095645

PECOS Enrollment IDI20210630002409

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 4

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

48 services24 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

26 services26 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

21 services20 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75801 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

HEIDI CHRISTINE KNOWLES MD

Emergency Medicine