DR. VANESSA NICHOLSON PSYD
NPI 1518611649
Psychologist - Clinical in Roseville, CA

Active since February 08, 2022PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(916) 298-8808 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 3, 2025, Jul 11, 2022, Mar 4, 2022 and 1 more (4 updates tracked since 2022).

About Dr. Vanessa Nicholson Psyd NPPES

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

DR. VANESSA NICHOLSON PSYD (NPI 1518611649) is an individual clinical provider in Roseville, California, licensed in California (33198) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1518611649
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. VANESSA NICHOLSONCredential: PSYD
Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037
Mailing Address1 Medical Plaza DrRoseville, CA 95661-3037 · (916) 298-8808
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 8, 2022
Last NPPES UpdateSeptember 3, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1518611649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 33198
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1 MEDICAL PLAZA DR, Roseville, CA 95661

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

Dr. Vanessa Nicholson Psyd 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 ID5092164715
PECOS Enrollment IDI20231206003805
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Vanessa Nicholson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Counselor
650 CALIFORNIA ST FL 7
San Francisco, CA 94108
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
Clinic/Center
3479 NE 163RD ST STE 1208
North Miami Beach, FL 33160
  • Reassigned Medicare billing, California enrollment

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 95661 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
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Emergency Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Nurse Practitioner (Family)
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Nurse Practitioner
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Internal Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661

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 Vanessa Nicholson's NPI number?

The NPI number for Vanessa Nicholson is 1518611649. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Vanessa Nicholson located?

Vanessa Nicholson practices at 1 Medical Plaza Dr, Roseville, CA 95661. The listed phone number is (916) 298-8808.

What is Vanessa Nicholson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Vanessa Nicholson enrolled in Medicare?

Yes. Vanessa 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 Vanessa Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Nicholson reassigns Medicare benefits to 5 organizations: Permanente Medical Group Inc (Stockton, CA), Stellar Clinic Ca, PC (San Francisco, CA), Sud Specialty Group - Ca (Santa Clara, CA), Grow Healthcare Group PC (San Jose, CA) and Drlullaby LLC (North Miami Beach, FL). 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 Vanessa Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vanessa Nicholson was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.