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ANDREA NICHOLSON DO
NPI 1457989493
Pediatrics in Louisville, KY

Active since March 27, 2020PECOS Enrolled
411 E CHESTNUT ST # STREET1, LOUISVILLE, KY 40202(502) 588-3440(502) 588-3441 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2026, Sep 6, 2024, Mar 27, 2020 (3 updates tracked since 2020).

About Andrea Nicholson Do NPPES

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

ANDREA NICHOLSON DO (NPI 1457989493) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (05809) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457989493
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANDREA NICHOLSONCredential: DO
Location Address411 E CHESTNUT ST # STREET1Louisville, KY 40202-1713
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 588-3440
Fax(502) 588-3441
Sole ProprietorYes
Enumeration DateMarch 27, 2020
Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1457989493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 05809
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
411 E CHESTNUT ST # STREET1, Louisville, KY 40202
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Other Identifiers 2

Medicaid7100747700KY
Other05809KY · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Nicholson Do 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 Andrea Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 5

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

MRS. NANCEE RAE SPILLMAN NP-C
Nurse Practitioner (Family)
411 E CHESTNUT ST # STREET1
LOUISVILLE, KY 40202
Jefferson County (502) 588-3440
DR. JENNIFER ELIZABETH THOMPSON MD
Pediatrics
411 E CHESTNUT ST # STREET1
LOUISVILLE, KY 40202
Jefferson County (502) 588-3440
JUDITH ANN THERIOT MD
Pediatrics
411 E CHESTNUT ST # STREET1
LOUISVILLE, KY 40202
Jefferson County (502) 588-3440
BRITTANY KATHLEEN BADAL M.D.
Pediatrics (Adolescent Medicine)
411 E CHESTNUT ST # STREET1
LOUISVILLE, KY 40202
Jefferson County (502) 588-3440
ANGELA DIANE JOHNSON MSSW,CSW
Social Worker (Clinical)
411 E CHESTNUT ST # STREET1
LOUISVILLE, KY 40202
Jefferson County (502) 588-3440

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 Andrea Nicholson's NPI number?

The NPI number for Andrea Nicholson is 1457989493. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Andrea Nicholson located?

Andrea Nicholson practices at 411 E Chestnut St # Street1, Louisville, KY 40202. The listed phone number is (502) 588-3440.

What is Andrea Nicholson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Andrea Nicholson enrolled in Medicare?

Yes. Andrea Nicholson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Nicholson reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). 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 Andrea Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Nicholson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Andrea Nicholson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Nicholson was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.