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TAMMY R NICHOLS NURSE PRACTITIONER
NPI 1730900663
Nurse Practitioner - Family in Macks Creek, MO

Active since October 23, 2024PECOS Enrolled
2179 STATE HIGHWAY 73, MACKS CREEK, MO 65786(660) 428-5020 Get Directions Write a Review

NPPES record last updated: November 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tammy R Nichols Nurse Practitioner NPPES

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

TAMMY R NICHOLS NURSE PRACTITIONER (NPI 1730900663) is an individual family provider in Macks Creek, Missouri, licensed in Missouri (2024041853) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730900663
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMMY R NICHOLSCredential: NURSE PRACTITIONER
Location Address2179 STATE HIGHWAY 73Macks Creek, MO 65786-8228
Mailing Address2179 State Highway 73Macks Creek, MO 65786-8228 · (660) 428-5020
Phone(660) 428-5020
Sole ProprietorYes
Enumeration DateOctober 23, 2024
Last NPPES UpdateNovember 9, 2024
NPPES CertifiedNovember 9, 2024
✔ NPI 1730900663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2024041853
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 2024041853 (MO)
2179 STATE HIGHWAY 73, Macks Creek, MO 65786
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammy R Nichols Nurse Practitioner 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 65786 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Tammy Nichols's NPI number?

The NPI number for Tammy Nichols is 1730900663. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Where is Tammy Nichols located?

Tammy Nichols practices at 2179 State Highway 73, Macks Creek, MO 65786. The listed phone number is (660) 428-5020.

What is Tammy Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tammy Nichols enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tammy Nichols was last updated on November 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.