DR. AMANDA MICHELLE NICKLAS OD
NPI 1639519481
Optometrist in Saint Louis, MO
About Dr. Amanda Michelle Nicklas Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMANDA MICHELLE NICKLAS OD (NPI 1639519481) is an individual optometrist in Saint Louis, Missouri, licensed in Missouri (2013021169) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Amanda Michelle Nicklas Od 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 Amanda Nicklas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 105 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 76 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Amanda Nicklas's NPI number?
The NPI number for Amanda Nicklas is 1639519481. It was assigned to this individual provider in the NPPES registry on June 26, 2013.
Where is Amanda Nicklas located?
Amanda Nicklas practices at 1 Childrens Pl Ste 3110, Saint Louis, MO 63110. The listed phone number is (314) 454-6026.
What is Amanda Nicklas's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Amanda Nicklas enrolled in Medicare?
Yes. Amanda Nicklas 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 Amanda Nicklas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Nicklas reassigns Medicare benefits to 2 organizations: Washington University (Saint Louis, MO) and University Of The Incarnate Word (San Antonio, TX). 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 Amanda Nicklas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Nicklas accept?
Health plans from Cox HealthPlans and UnitedHealthcare list Amanda Nicklas 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 Amanda Nicklas was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Amanda Michelle Nicklas, OD · NPI 1639519481
Optometrist provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 26, 2013.
## Identity
- **NPI:** 1639519481 (Entity type: Individual)
- **Enumerated:** June 26, 2013
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2013021169 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CHILDRENS PL, STE 3110, Saint Louis, MO 63110-1002
- **Phone:** (314) 454-6026 · **Fax:** (866) 936-4559
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Washington University (NPI 1841221116, Saint Louis, MO); University Of The Incarnate Word (NPI 1003129784, San Antonio, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri St Louis - School Of Optometry, class of 2013
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 310006063 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1639519481) · Data from the CMS NPPES public registry.