MRS. RENETTA RUTH NICHOLS MSN, APRN, FNP-C
NPI 1487194346
Nurse Practitioner - Family in Springdale, AR

Active since February 26, 2017PECOS EnrolledAccepts Medicare Assignment
92.94/100
CMS Quality Rating
2158 BUTTERFIELD COACH RD STE 100, SPRINGDALE, AR 72764(479) 757-5026(479) 757-5028 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2023, Sep 9, 2020, Feb 26, 2017 (3 updates tracked since 2017).

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

NPI1487194346
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RENETTA RUTH NICHOLSCredential: MSN, APRN, FNP-C
Location Address2158 BUTTERFIELD COACH RD STE 100Springdale, AR 72764-9142
Mailing Address2158 Butterfield Coach Rd Ste 100Springdale, AR 72764-9142 · (479) 757-5026 · Fax (479) 757-5028
Fax(479) 757-5028
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 26, 2017
Last NPPES UpdateDecember 20, 20233 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
NPI 1487194346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · 005058
2158 BUTTERFIELD COACH RD STE 100, Springdale, AR 72764

Secondary Practice Location 1

Location 1101 Sun Meadow DrCenterton, AR 72719-9610 · Phone (479) 795-0426

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

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.

PECOS PAC ID5496030991
PECOS Enrollment IDI20170324000573
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 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.

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.
132 services55 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.
23 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients

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.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.54
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
46%124 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
57%198 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
22%50 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers16 claims16 services$205.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
2158 BUTTERFIELD COACH RD STE 100
SPRINGDALE, AR 72764
Family Medicine
2158 BUTTERFIELD COACH RD STE 100
SPRINGDALE, AR 72764
Hospitalist
2158 BUTTERFIELD COACH RD STE 100
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.

What insurance does Renetta Nichols accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 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 with the weekly NPPES data releases published by CMS.