CHANTAL MARIE NICHOLS NP
NPI 1437780764
Nurse Practitioner - Family in Williston, FL

Q: What is Chantal Nichols's NPI number?

The NPI number for Chantal Nichols is 1437780764. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Q: What is Chantal Nichols'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 Chantal Nichols was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 27, 2020PECOS Enrolled

630 N MAIN ST, WILLISTON, FL 32696(352) 528-0587(352) 528-4834 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2020, Feb 7, 2020, Jan 27, 2020 (3 updates tracked since 2020).

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About Chantal Marie Nichols Np NPPES

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

CHANTAL MARIE NICHOLS NP (NPI 1437780764) is an individual family provider in Williston, Florida, licensed in Florida (APRN11005897) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437780764

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHANTAL MARIE NICHOLSCredential: NP

Location Address630 N MAIN STWilliston, FL 32696-1705

Mailing Address23343 Nw County Road 236High Springs, FL 32643-9669

Phone(352) 528-0587

Fax(352) 528-4834

Sole ProprietorNo

Enumeration DateJanuary 27, 2020

Last NPPES UpdateFebruary 19, 20203 updates tracked since enumeration

✔ NPI 1437780764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11005897

Also ListedFamily MedicineTaxonomy 207Q00000X · License APRN11005897 (FL)

630 N MAIN ST, Williston, FL 32696

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Secondary Practice Locations 2

Location 1911 S Main StTrenton, FL 32693-3239 · Phone (352) 463-2374

Location 223476 W US HWYHigh Springs, FL 32643 · Phone (386) 454-0568 · Fax (352) 224-7899

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chantal Marie Nichols Np 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 32696 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.

Other Providers at the Same Location NPPES 13

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

POLLY FLAXMAN DMD

Dentist