ALICIA FAULK NICKLAS NP
NPI 1487188256
Nurse Practitioner - Pediatrics in Lafayette, LA

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
104 GENEVIEVE DR, LAFAYETTE, LA 70503(337) 984-0110(337) 981-7210 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2018, Apr 18, 2017 (2 updates tracked since 2017).

About Alicia Faulk Nicklas Np NPPES

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

ALICIA FAULK NICKLAS NP (NPI 1487188256) is an individual pediatrics provider in Lafayette, Louisiana, licensed in Louisiana (AP09172) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487188256
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameALICIA FAULK NICKLASCredential: NP
Location Address104 GENEVIEVE DRLafayette, LA 70503-4811
Mailing Address104 Genevieve DrLafayette, LA 70503-4811 · (337) 984-0110 · Fax (337) 981-7210
Fax(337) 981-7210
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 18, 2017
Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration
NPI 1487188256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in LA · AP09172
104 GENEVIEVE DR, Lafayette, LA 70503

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 and accepts Medicare assignment

Alicia Faulk Nicklas Np 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 ID9032443767
PECOS Enrollment IDI20190628001154
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 3

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.
198 services167 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
195 services178 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Ochsner University Hospital And Clinics

Acute Care Hospitals · Lafayette, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190006
Location2390 West CongressLafayette, LA 70506 · Lafayette County
Emergency services

Christus Ochsner St Patrick Hospital

Acute Care Hospitals · Lake Charles, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190027
Location524 Dr Michael Debakey DriveLake Charles, LA 70601 · Calcasieu County
Emergency services

Acadia General Hospital

Acute Care Hospitals · Crowley, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190044
Location1305 Crowley Rayne HighwayCrowley, LA 70526 · Acadia County
Emergency services

Ochsner St Martin Hospital

Critical Access Hospitals · Breaux Bridge, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number191302
Location210 Champagne BoulevardBreaux Bridge, LA 70517 · St. Martin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70503 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Pediatrics
104 GENEVIEVE DR
LAFAYETTE, LA 70503
Pediatrics
104 GENEVIEVE DR
LAFAYETTE, LA 70503
Pediatrics
104 GENEVIEVE DR
LAFAYETTE, LA 70503
Nurse Practitioner (Pediatrics)
104 GENEVIEVE DR
LAFAYETTE, LA 70503
Pediatrics
104 GENEVIEVE DR
LAFAYETTE, LA 70503

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 Alicia Nicklas's NPI number?

The NPI number for Alicia Nicklas is 1487188256. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Alicia Nicklas located?

Alicia Nicklas practices at 104 Genevieve Dr, Lafayette, LA 70503. The listed phone number is (337) 984-0110.

What is Alicia Nicklas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Alicia Nicklas enrolled in Medicare?

Yes. Alicia Nicklas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alicia Nicklas accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Alicia Nicklas 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.

Is Alicia Nicklas affiliated with any hospitals?

According to CMS data, Alicia Nicklas is affiliated with Ochsner Lafayette General Medical Center, Ochsner University Hospital And Clinics, Christus Ochsner St Patrick Hospital, Acadia General Hospital and Ochsner St Martin Hospital.

When was this NPI record last updated?

The NPPES record for Alicia Nicklas was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.