Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JENNIE ELIZABETH NICHOLS D.D.S.
NPI 1629056635
Dentist - General Practice in Medina, OH

Q: What is Jennie Nichols's NPI number?

The NPI number for Jennie Nichols is 1629056635. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Q: What is Jennie Nichols's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jennie Nichols was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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 January 09, 2006PECOS Enrolled

243 S BROADWAY ST, MEDINA, OH 44256(330) 725-4101 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jennie Elizabeth Nichols D.d.s. NPPES

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

DR. JENNIE ELIZABETH NICHOLS D.D.S. (NPI 1629056635) is an individual general practice provider in Medina, Ohio, licensed in Ohio (30021813) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629056635

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JENNIE ELIZABETH NICHOLSCredential: D.D.S.

Location Address243 S BROADWAY STMedina, OH 44256-2601

Mailing Address243 S Broadway StMedina, OH 44256-2601 · (330) 725-4101

Phone(330) 725-4101

Sole ProprietorNo

Enumeration DateJanuary 9, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1629056635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 30021813

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

243 S BROADWAY ST, Medina, OH 44256

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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 (PECOS)

Dr. Jennie Elizabeth Nichols D.d.s. 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 44256 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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 Jennie Nichols's NPI number?

The NPI number for Jennie Nichols is 1629056635. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Jennie Nichols located?

Jennie Nichols practices at 243 S Broadway St, Medina, OH 44256. The listed phone number is (330) 725-4101.

What is Jennie Nichols's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jennie Nichols enrolled in Medicare?

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

What insurance does Jennie Nichols accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Alabama and Delta Dental of Ohio and 3 other insurers list Jennie 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.

When was this NPI record last updated?

The NPPES record for Jennie Nichols was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.