KIMBERLY C NICHOLS NP
NPI 1619251626
Nurse Practitioner in Bristol, TN

Q: What is Kimberly Nichols's NPI number?

The NPI number for Kimberly Nichols is 1619251626. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Q: What is Kimberly Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Nichols was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 10, 2011PECOS EnrolledAccepts Medicare Assignment

1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-5583(423) 844-5588 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly C Nichols Np NPPES

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

KIMBERLY C NICHOLS NP (NPI 1619251626) is an individual nurse practitioner in Bristol, Tennessee, licensed in Virginia (0024169691) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1619251626

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBERLY C NICHOLSCredential: NP

Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430

Mailing Address999 Executive Park Blvd, Suite 201Kingsport, TN 37660-4632 · (423) 224-3250 · Fax (423) 224-3258

Phone(423) 844-5583

Fax(423) 844-5588

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 10, 2011

Last NPPES UpdateJanuary 10, 2013

✔ NPI 1619251626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in VA · 0024169691✔ Licensed in TN · 16361

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1 MEDICAL PARK BLVD, Bristol, TN 37620

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Other Identifiers 3

Medicare PIN10350I2847TN

Medicare PIN103I504241TN

Medicare PINVV8116B

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Kimberly C Nichols Np 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 ID749447753

PECOS Enrollment IDI20120202000585, I20121201000087

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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

162 services90 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

153 services92 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

124 services108 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

123 services82 patients

Microscopic examination for white blood cells with manual cell count 85007

This is a lab test where a small sample of your blood is studied under a microscope. The goal is to count the number of white blood cells, which are crucial for your body's immune response. The count can help identify potential health issues.

33 services14 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

32 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440012

LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County

Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490114

Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

CASSONDRA NICHOLE COMPTON CRNA

Nurse Anesthetist, Certified Registered

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-2686

DAVID R HUDGENS M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-3220

DR. JEAN MARIE MANCINI M.D.

Internal Medicine

1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620

Sullivan County (423) 968-3713

THOMAS A KITTS MD

Emergency Medicine

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-2100

LAURA ANN ELLER AGACNP

Nurse Practitioner (Critical Care Medicine)

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-1121

DR. WALTER DAVIS ARNOLD JR. MD

Internal Medicine

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 282-1480

DR. KARL E LAWRENCE M.D.

Internal Medicine

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-1121

DR. MICHAEL WAYNE RENTZ MD

Pathology (Anatomic Pathology & Clinical Pathology)

1 MEDICAL PARK BLVD
BRISTOL, TN 37620

Sullivan County (423) 844-3220

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 Kimberly Nichols's NPI number?

The NPI number for Kimberly Nichols is 1619251626. It was assigned to this individual provider in the NPPES registry on October 10, 2011.

Where is Kimberly Nichols located?

Kimberly Nichols practices at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-5583.

What is Kimberly Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Nichols enrolled in Medicare?

Yes. Kimberly Nichols 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 Kimberly Nichols accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Kimberly Nichols 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 Kimberly Nichols affiliated with any hospitals?

According to CMS data, Kimberly Nichols is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center and Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Nichols was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.