MR. JOHN FORREST NICHOLSON III DNP
NPI 1568819449
Nurse Anesthetist, Certified Registered in Sumter, SC
About Mr. John Forrest Nicholson Iii Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN FORREST NICHOLSON III DNP (NPI 1568819449) is an individual nurse anesthetist, certified registered in Sumter, South Carolina, licensed in Mississippi (881233) and active in the NPI registry since May 2016. He is affiliated with Regional One Health and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2016).
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
Mr. John Forrest Nicholson Iii Dnp 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 John Nicholson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sumter, SC 29150
- Reassigned Medicare billing, South Carolina enrollment
- 99 clinicians in this Medicare group
Memphis, TN 38103
- Reassigned Medicare billing, Tennessee enrollment
- 421 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Regional One Health
Acute Care Hospitals · Memphis, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SUMTER, SC 29150
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 John Nicholson's NPI number?
The NPI number for John Nicholson is 1568819449. It was assigned to this individual provider in the NPPES registry on May 19, 2016.
Where is John Nicholson located?
John Nicholson practices at 129 N Washington St, Sumter, SC 29150. The listed phone number is (803) 774-9000.
What is John Nicholson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is John Nicholson enrolled in Medicare?
Yes. John 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 John Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Nicholson reassigns Medicare benefits to 2 organizations: Prisma Health Tuomey (Sumter, SC) and Ut Regional One Physicians Inc (Memphis, TN). 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 John Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Nicholson accept?
Health plans from Oscar Insurance Company list John 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.
Is John Nicholson affiliated with any hospitals?
According to CMS data, John Nicholson is affiliated with Regional One Health.
When was this NPI record last updated?
The NPPES record for John Nicholson was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mr. John Forrest Nicholson III, DNP · NPI 1568819449
Nurse Anesthetist, Certified Registered physician in Sumter, South Carolina. Individual provider, active in the CMS NPPES registry since May 19, 2016.
## Identity
- **NPI:** 1568819449 (Entity type: Individual)
- **Enumerated:** May 19, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 881233 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 129 N WASHINGTON ST, Sumter, SC 29150-4949
- **Phone:** (803) 774-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Prisma Health Tuomey (NPI 1497112965, Sumter, SC); Ut Regional One Physicians Inc (NPI 1093130585, Memphis, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** May 19, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1568819449) · Data from the CMS NPPES public registry.