CARLEE NICHOLSON DNP, FNP-BC
NPI 1508623570
Nurse Practitioner - Family in Hattiesburg, MS
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Carlee Nicholson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 248 clinicians in this Medicare group
Columbia, MS 39429
- Reassigned Medicare billing, Mississippi enrollment
- 2 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.
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.
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.
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.
Which organizations bill Medicare for Carlee Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlee Nicholson reassigns Medicare benefits to 2 organizations: Forrest County General Hospital (Hattiesburg, MS) and Med360 LLC (Columbia, MS). 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 Carlee Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlee Nicholson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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.
# Carlee Nicholson, DNP, FNP-BC · NPI 1508623570
Family physician in Hattiesburg, Mississippi. Individual provider, active in the CMS NPPES registry since March 5, 2024.
## Identity
- **NPI:** 1508623570 (Entity type: Individual)
- **Enumerated:** March 5, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 906436 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 415 S 28TH AVE, Hattiesburg, MS 39401-7246
- **Phone:** (601) 288-5200
## 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): Forrest County General Hospital (NPI 1699267625, Hattiesburg, MS); Med360 LLC (NPI 1831819820, Columbia, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508623570) · Data from the CMS NPPES public registry.