MRS. RENETTA RUTH NICHOLS MSN, APRN, FNP-C
NPI 1487194346
Nurse Practitioner - Family in Springdale, AR
About Mrs. Renetta Ruth Nichols Msn, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. RENETTA RUTH NICHOLS MSN, APRN, FNP-C (NPI 1487194346) is an individual family provider in Springdale, Arkansas, licensed in Arkansas (005058) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Centerton, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Renetta Ruth Nichols Msn, Aprn, 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.
Medicare Billing Reassignments
2Medicare enrollment records show Renetta Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springdale, AR 72762
- Reassigned Medicare billing, Arkansas enrollment
- 115 clinicians in this Medicare group
Bentonville, AR 72712
- Reassigned Medicare billing, Arkansas enrollment
- 136 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGDALE, AR 72764
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 Renetta Nichols's NPI number?
The NPI number for Renetta Nichols is 1487194346. It was assigned to this individual provider in the NPPES registry on February 26, 2017.
Where is Renetta Nichols located?
Renetta Nichols practices at 2158 Butterfield Coach Rd Ste 100, Springdale, AR 72764. The listed phone number is (479) 757-5026.
What is Renetta Nichols's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Renetta Nichols enrolled in Medicare?
Yes. Renetta Nichols 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.
Which organizations bill Medicare for Renetta Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renetta Nichols reassigns Medicare benefits to 2 organizations: Northwest Physicians LLC (Springdale, AR) and Northwest Benton County Physician Services LLC (Bentonville, AR). Each 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 Renetta Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Renetta Nichols accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Renetta 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 Renetta Nichols was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Renetta Ruth Nichols, MSN, APRN, FNP-C · NPI 1487194346
Family physician in Springdale, Arkansas. Individual provider, active in the CMS NPPES registry since February 26, 2017.
## Identity
- **NPI:** 1487194346 (Entity type: Individual)
- **Enumerated:** February 26, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 005058 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2158 BUTTERFIELD COACH RD STE 100, Springdale, AR 72764-9142
- **Phone:** (479) 757-5026 · **Fax:** (479) 757-5028
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northwest Physicians LLC (NPI 1194768721, Springdale, AR); Northwest Benton County Physician Services LLC (NPI 1871553073, Bentonville, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1487194346) · Data from the CMS NPPES public registry.