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JESSICA DAWN NICHOLS FNP
NPI 1760058739
Nurse Practitioner - Family in Pilot Knob, MO

Active since June 01, 2021PECOS EnrolledAccepts Medicare Assignment
71.87/100
CMS Quality Rating
301 N HIGHWAY 21, PILOT KNOB, MO 63663(573) 546-1260 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Dawn Nichols Fnp NPPES

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

JESSICA DAWN NICHOLS FNP (NPI 1760058739) is an individual family provider in Pilot Knob, Missouri, licensed in Missouri (2021017873) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Washington County Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1760058739
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA DAWN NICHOLSCredential: FNP
Location Address301 N HIGHWAY 21Pilot Knob, MO 63663-7862
Mailing Address729 Fox GlnFarmington, MO 63640-8712 · (573) 366-4637
Phone(573) 546-1260
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 1, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1760058739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2021017873
301 N HIGHWAY 21, Pilot Knob, MO 63663
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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 and accepts Medicare assignment

Jessica Dawn Nichols Fnp 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 ID4486054715
PECOS Enrollment IDI20210608002858
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 2

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

Washington County Memorial Hospital

Critical Access Hospitals · Potosi, MO
OwnershipGovernment - Local
CMS Certification Number261308
Location300 Health WayPotosi, MO 63664 · Washington County
Emergency services

Iron County Medical Center

Critical Access Hospitals · Pilot Knob, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261336
Location301 North Highway 21Pilot Knob, MO 63663 · Iron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63663 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.

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.

71.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.93
Improvement Activities20

Referred Medical Equipment & Supplies CMS DME claims 7

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier18 claims18 services$71.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers36 claims36 services$119.21 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
4 suppliers12 claims870 services$0.10 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$19.44 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$182.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$38.19 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRON COUNTY HOSPITAL DISTRICT
Clinic/Center (Rural Health)
301 N HIGHWAY 21
PILOT KNOB, MO 63663
Iron County (573) 546-8051
LAURA ANN WALLACE A.P.N
Nurse Practitioner (Primary Care)
301 N HIGHWAY 21
PILOT KNOB, MO 63663
Iron County (573) 546-8036
IRON COUNTY HOSPITAL DISTRICT
General Acute Care Hospital (Critical Access)
301 N HIGHWAY 21
PILOT KNOB, MO 63663
Iron County (573) 546-1260
SHEPHERD MOUNTAIN EMERGENCY PHYSICIANS
Emergency Medicine
301 N HIGHWAY 21
PILOT KNOB, MO 63663
Iron County (573) 546-1260

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 Jessica Nichols's NPI number?

The NPI number for Jessica Nichols is 1760058739. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Jessica Nichols located?

Jessica Nichols practices at 301 N Highway 21, Pilot Knob, MO 63663. The listed phone number is (573) 546-1260.

What is Jessica Nichols's specialty?

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

Is Jessica Nichols enrolled in Medicare?

Yes. Jessica 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.

Is Jessica Nichols affiliated with any hospitals?

According to CMS data, Jessica Nichols is affiliated with Washington County Memorial Hospital and Iron County Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Nichols was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.