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MS. MARY W NICHOLS NP
NPI 1629032412
Nurse Practitioner - Family in Bath, NY

Active since April 17, 2006PECOS Enrolled
76 VETERANS AVE BLDG 30 RM 202, BATH, NY 14810(607) 664-4501(607) 664-4503 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Mary W Nichols Np NPPES

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

MS. MARY W NICHOLS NP (NPI 1629032412) is an individual family provider in Bath, New York, licensed in New York (F332251) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629032412
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARY W NICHOLSCredential: NP
Location Address76 VETERANS AVE BLDG 30 RM 202Bath, NY 14810-0810
Mailing Address76 Veterans Ave Bldg 30 Rm 202Bath, NY 14810-0810 · (607) 664-4501 · Fax (607) 664-4503
Phone(607) 664-4501
Fax(607) 664-4503
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629032412 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 NY · F332251
76 VETERANS AVE BLDG 30 RM 202, Bath, NY 14810
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Other Identifiers 1

Medicare UPINS68491NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary W Nichols Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 14810 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Mary Nichols's NPI number?

The NPI number for Mary Nichols is 1629032412. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Mary Nichols located?

Mary Nichols practices at 76 Veterans Ave Bldg 30 Rm 202, Bath, NY 14810. The listed phone number is (607) 664-4501.

What is Mary Nichols's specialty?

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

Is Mary Nichols enrolled in Medicare?

Yes. Mary Nichols is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Nichols was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.