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DR. AMY J. NICHOLS M.D.
NPI 1487807814
General Practice in Ketchikan, AK

Active since October 29, 2008PECOS Enrolled
2960 TONGASS AVE, KETCHIKAN, AK 99901(907) 228-4900(800) 852-3264 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Amy J. Nichols M.d. NPPES

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

DR. AMY J. NICHOLS M.D. (NPI 1487807814) is an individual general practice provider in Ketchikan, Alaska, licensed in Indiana (010 671 22A) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1487807814
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. AMY J. NICHOLSCredential: M.D.
Location Address2960 TONGASS AVEKetchikan, AK 99901-5742
Mailing Address2960 Tongass AveKetchikan, AK 99901-5742 · (907) 228-4900 · Fax (800) 852-3264
Phone(907) 228-4900
Fax(800) 852-3264
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 29, 2008
Last NPPES UpdateMay 5, 2017
✔ NPI 1487807814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 010 671 22A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2960 TONGASS AVE, Ketchikan, AK 99901
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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. Amy J. Nichols M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204132319
PECOS Enrollment IDI20180521001332
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$8.69 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers38 claims38 services$113.98 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$35.42 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$25.89 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 20

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

VELIA INEZ TURKNETT RN
Registered Nurse
2960 TONGASS AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4900
YAMILE MARIE ROBINSON RN
Registered Nurse
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4900
KIC TRIBAL HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
2960 TONGASS AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4900
SHARON ROSE ASTRY
Pharmacy Technician
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
MAXX RITCHIE KEIZER PHARMD
Pharmacist
2960 TONGASS AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4900
ELMER JOSEPH GUERRERO DDS
Dentist
2960 TONGASS AVE, SUITE #403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
JASMINE F. STEWART CSW
Social Worker (Clinical)
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
CAROL ANNE MURRAY RN
Registered Nurse
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902

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 Amy Nichols's NPI number?

The NPI number for Amy Nichols is 1487807814. It was assigned to this individual provider in the NPPES registry on October 29, 2008.

Where is Amy Nichols located?

Amy Nichols practices at 2960 Tongass Ave, Ketchikan, AK 99901. The listed phone number is (907) 228-4900.

What is Amy Nichols's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Amy Nichols enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amy Nichols was last updated on May 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.