DR. KRISTEN BENAE NICHOLS D.D.S.
NPI 1467431874
Dentist - Prosthodontics in Jbsa Lackland, TX

Active since January 13, 2006PECOS Enrolled
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236(210) 292-0768 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2023, Sep 28, 2021, Jul 13, 2018 (3 updates tracked since 2018).

About Dr. Kristen Benae Nichols D.d.s. NPPES

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

DR. KRISTEN BENAE NICHOLS D.D.S. (NPI 1467431874) is an individual prosthodontics provider in Jbsa Lackland, Texas, licensed in Nebraska (6544) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467431874
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameDR. KRISTEN BENAE NICHOLSCredential: D.D.S.
Location Address1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHCJbsa Lackland, TX 78236-9908
Mailing Address1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghcJbsa Lackland, TX 78236-9908 · (210) 292-0768
Sole ProprietorNo
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJuly 17, 20233 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1467431874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in NE · 6544
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

1100 WILFORD HALL LOOP, BLDG 4554, Jbsa Lackland, TX 78236

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kristen Benae Nichols D.d.s. 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 78236 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 19

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

Dentist
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Nurse Practitioner (Women's Health)
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Ophthalmology
1100 WILFORD HALL LOOP, BLDG 4554, OPHTHALMOLOGY CLINIC
JBSA LACKLAND, TX 78236
Psychologist
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Social Worker (Clinical)
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Physical Therapist (Orthopedic)
1100 WILFORD HALL LOOP, BLDG 4554, 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Preventive Medicine (Aerospace Medicine)
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236
Speech-Language Pathologist
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX 78236

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 Kristen Nichols's NPI number?

The NPI number for Kristen Nichols is 1467431874. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Kristen Nichols located?

Kristen Nichols practices at 1100 Wilford Hall Loop, Bldg 4554 Attn: 59 Mdw/Sghc, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-0768.

What is Kristen Nichols's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Kristen Nichols enrolled in Medicare?

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

What insurance does Kristen Nichols accept?

Health plans from Delta Dental of Nebraska list Kristen Nichols 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 Kristen Nichols was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.