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NICHOLE JONES PA-C
NPI 1720455124
Physician Assistant - Surgical in Jacksonville, NC

Active since September 01, 2015PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
55 OFFICE PARK DR, JACKSONVILLE, NC 28546(910) 219-3377 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2024, Mar 30, 2021 (2 updates tracked since 2021).

About Nichole Jones Pa-c NPPES

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

NICHOLE JONES PA-C (NPI 1720455124) is an individual surgical provider in Jacksonville, North Carolina, licensed in Wisconsin (3518-23) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720455124
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameNICHOLE JONESCredential: PA-C
Location Address55 OFFICE PARK DRJacksonville, NC 28546-7327
Mailing Address205 Trophy Ridge DrRichlands, NC 28574-8490 · (239) 340-3969
Phone(910) 219-3377
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 1, 2015
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1720455124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in WI · 3518-23✔ Licensed in NC · 320724
55 OFFICE PARK DR, Jacksonville, NC 28546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Medica, UnitedHealthcare.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

Nichole Jones Pa-c 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.

PECOS PAC ID4688981608
PECOS Enrollment IDI20240403002631
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.

Areas of Expertise CMS Part B claims 8

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
104 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services57 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
60 services60 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
50 services45 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

Referred Medical Equipment & Supplies CMS DME claims

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

Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers24 claims24 services$28.12 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.

MYRON WILLIAM YENCHA JR. MD
Otolaryngology
55 OFFICE PARK DR
JACKSONVILLE, NC 28546
Onslow County (910) 219-3377
DR. GABRIELLE ELIZABETH RAKIDZICH AUD
Audiologist
55 OFFICE PARK DR
JACKSONVILLE, NC 28546
Onslow County (910) 219-3377
ONSLOW AMBULATORY SERVICES, INC.
Otolaryngology
55 OFFICE PARK DR
JACKSONVILLE, NC 28546
Onslow County (910) 219-3377

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 Jones's NPI number?

The NPI number for Nichole Jones is 1720455124. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is Nichole Jones located?

Nichole Jones practices at 55 Office Park Dr, Jacksonville, NC 28546. The listed phone number is (910) 219-3377.

What is Nichole Jones's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nichole Jones enrolled in Medicare?

Yes. Nichole Jones 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 Nichole Jones accept?

Health plans from Blue Cross and Blue Shield of NC, Medica and UnitedHealthcare list Nichole Jones 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 Jones affiliated with any hospitals?

According to CMS data, Nichole Jones is affiliated with Onslow Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nichole Jones was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.