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DR. NICHOLE MICHELLE CHURCHMAN M.D.
NPI 1700916095
Family Medicine in Leesville, LA

Active since March 06, 2007PECOS Enrolled
1017 W FERTITTA BLVD, LEESVILLE, LA 71446(337) 238-4511(337) 238-4513 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nichole Michelle Churchman M.d. NPPES

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

DR. NICHOLE MICHELLE CHURCHMAN M.D. (NPI 1700916095) is an individual family medicine provider in Leesville, Louisiana, licensed in Louisiana (MD200337) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Christus St Frances Cabrini Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1700916095
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICHOLE MICHELLE CHURCHMANCredential: M.D.
Location Address1017 W FERTITTA BLVDLeesville, LA 71446-4646
Mailing Address1017 W Fertitta BlvdLeesville, LA 71446-4646 · (337) 238-4511 · Fax (337) 238-4513
Phone(337) 238-4511
Fax(337) 238-4513
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 15, 2013
✔ NPI 1700916095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · MD200337
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1017 W FERTITTA BLVD, Leesville, LA 71446
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Other Identifiers 2

Medicaid1073776LA
Medicare PIN000063184UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana 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. Nichole Michelle Churchman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113013640
PECOS Enrollment IDI20081119000212
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.

Hospital Affiliations CMS Care Compare 3

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

Christus St Frances Cabrini Hospital

Acute Care Hospitals · Alexandria, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190019
Location3330 Masonic DriveAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Beauregard Memorial Hospital

Acute Care Hospitals · Deridder, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190050
Location600 S Pine StreetDeridder, LA 70634 · Beauregard County
Emergency services Birthing friendly

Byrd Regional Hospital

Acute Care Hospitals · Leesville, LA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number190164
Location1020 Fertitta BlvdLeesville, LA 71446 · Vernon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71446 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

Reported Quality Measures

e-Prescribing
100%3,963 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
68%816 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims42 services$5.74 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$7.61 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers20 claims20 services$71.07 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers43 claims43 services$19.57 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims18 services$6.98 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers21 claims21 services$62.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CANDACE JUNEAU VAN DINE
Hearing Instrument Specialist
1017 W FERTITTA BLVD
LEESVILLE, LA 71446
Vernon Parish (337) 392-0026
LOI DAI VO M.D.
Internal Medicine
1017 W FERTITTA BLVD
LEESVILLE, LA 71446
Vernon Parish (337) 239-2606
VO MEDICAL CLINIC A PROFESSIONAL MEDICAL CORPORATION
Family Medicine
1017 W FERTITTA BLVD
LEESVILLE, LA 71446
Vernon Parish (337) 239-2606

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 Nichole Churchman's NPI number?

The NPI number for Nichole Churchman is 1700916095. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Nichole Churchman located?

Nichole Churchman practices at 1017 W Fertitta Blvd, Leesville, LA 71446. The listed phone number is (337) 238-4511.

What is Nichole Churchman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nichole Churchman enrolled in Medicare?

Yes. Nichole Churchman is registered in the Medicare PECOS enrollment system.

What insurance does Nichole Churchman accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana and UnitedHealthcare list Nichole Churchman 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 Nichole Churchman affiliated with any hospitals?

According to CMS data, Nichole Churchman is affiliated with Christus St Frances Cabrini Hospital, Beauregard Memorial Hospital and Byrd Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nichole Churchman was last updated on July 15, 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.