CARLEE NICHOLSON DNP, FNP-BC
NPI 1508623570
Nurse Practitioner - Family in Hattiesburg, MS

Active since March 05, 2024PECOS EnrolledAccepts Medicare Assignment
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 288-5200 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2024, Mar 5, 2024 (2 updates tracked since 2024).

About Carlee Nicholson Dnp, Fnp-bc NPPES

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

CARLEE NICHOLSON DNP, FNP-BC (NPI 1508623570) is an individual family provider in Hattiesburg, Mississippi, licensed in Mississippi (906436) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1508623570
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLEE NICHOLSONCredential: DNP, FNP-BC
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address700 Oak AveColumbia, MS 39429-3025 · (601) 341-4166
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 5, 2024
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
NPI 1508623570 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 MS · 906436
415 S 28TH AVE, Hattiesburg, MS 39401

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

Carlee Nicholson Dnp, Fnp-bc 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 ID3971040791
PECOS Enrollment IDI20240730000458
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 39401 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 20

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

Neurological Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Psychiatry & Neurology (Neurology)
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401

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 Carlee Nicholson's NPI number?

The NPI number for Carlee Nicholson is 1508623570. It was assigned to this individual provider in the NPPES registry on March 5, 2024.

Where is Carlee Nicholson located?

Carlee Nicholson practices at 415 S 28th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 288-5200.

What is Carlee Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carlee Nicholson enrolled in Medicare?

Yes. Carlee Nicholson 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 Carlee Nicholson accept?

Health plans from Molina Healthcare list Carlee Nicholson 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 Carlee Nicholson was last updated on August 6, 2024. 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.