CRYSTAL JO NICHOLS C.F.N.P.
NPI 1659681328
Nurse Practitioner - Family in Mantachie, MS
About Crystal Jo Nichols C.f.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL JO NICHOLS C.F.N.P. (NPI 1659681328) is an individual family provider in Mantachie, Mississippi, licensed in Mississippi (R870294) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Crystal Jo Nichols C.f.n.p. 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Mississippi Medical Center
Acute Care Hospitals · Tupelo, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38855 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Crystal Nichols's NPI number?
The NPI number for Crystal Nichols is 1659681328. It was assigned to this individual provider in the NPPES registry on October 15, 2010.
Where is Crystal Nichols located?
Crystal Nichols practices at 285 Ivie Ln, Mantachie, MS 38855. The listed phone number is (662) 282-4197.
What is Crystal Nichols's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Crystal Nichols enrolled in Medicare?
Yes. Crystal 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 Crystal Nichols accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Crystal 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 Crystal Nichols affiliated with any hospitals?
According to CMS data, Crystal Nichols is affiliated with North Mississippi Medical Center.
When was this NPI record last updated?
The NPPES record for Crystal Nichols was last updated on October 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Crystal Jo Nichols, C.F.N.P. · NPI 1659681328
Family physician in Mantachie, Mississippi. Individual provider, active in the CMS NPPES registry since October 15, 2010.
## Identity
- **NPI:** 1659681328 (Entity type: Individual)
- **Enumerated:** October 15, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R870294 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 285 IVIE LN, Mantachie, MS 38855-9764
- **Phone:** (662) 282-4197 · **Fax:** (662) 282-5121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 23, 2014
- **Other identifiers:** Medicaid 05372791 (MS); Medicare OSCAR/certification 302I509866 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1659681328) · Data from the CMS NPPES public registry.