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JACKIE LYNN NICHOLS MD, MPH
NPI 1760607774
Obstetrics & Gynecology in Annapolis, MD

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
2003 MEDICAL PKWY, STE 250, ANNAPOLIS, MD 21401(410) 224-2228 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Lynn Nichols Md, Mph NPPES

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

JACKIE LYNN NICHOLS MD, MPH (NPI 1760607774) is an individual obstetrics & gynecology provider in Annapolis, Maryland, licensed in Maryland (D0065876) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1760607774
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJACKIE LYNN NICHOLSCredential: MD, MPH
Location Address2003 MEDICAL PKWY, STE 250Annapolis, MD 21401-7992
Mailing Address1346 N Carolina Ave NeWashington, DC 20002-6424 · (202) 543-5576
Phone(410) 224-2228
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760607774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MD · D0065876✔ Licensed in DC · MD035751
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2003 MEDICAL PKWY, Annapolis, MD 21401
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Other Names 1

Former Name (1)Jackie Lynn Hilsdorf

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

Jackie Lynn Nichols Md, Mph 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 ID7719158716
PECOS Enrollment IDI20110923000283
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 3

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.

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.
63 services59 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DABNEY LIPSCOMB NP
Nurse Practitioner (Women's Health)
2003 MEDICAL PKWY, WAYSON PAVILION, SUITE 150
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-1199
DIANA ABELL LPN, IBCLC
Lactation Consultant, Non-RN
2003 MEDICAL PKWY, SUITE G50
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-4400
MARGARET M THOMAS PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2003 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-4229
ANN RUPPEL OTR
Occupational Therapist
2003 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (410) 573-2530
MARISHA T NEWTON
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2003 MEDICAL PKWY, G90
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-4600
CRISTIN AUTREY GILLEY CNM
Advanced Practice Midwife
2003 MEDICAL PKWY, SUITE G50
ANNAPOLIS, MD 21401
Anne Arundel County (410) 573-1094
DR. HEATHER HERMAN M.D.
Specialist
2003 MEDICAL PKWY, SUITE 370
ANNAPOLIS, MD 21401
Anne Arundel County (410) 571-9700
DR. CYNTHIA JOY NOLLETTI M.D.
Specialist
2003 MEDICAL PKWY, SUITE 102
ANNAPOLIS, MD 21401
Anne Arundel County (410) 573-9511

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 Jackie Nichols's NPI number?

The NPI number for Jackie Nichols is 1760607774. It was assigned to this individual provider in the NPPES registry on April 16, 2007. The provider is also known as Jackie Lynn Hilsdorf.

Where is Jackie Nichols located?

Jackie Nichols practices at 2003 Medical Pkwy Ste 250, Annapolis, MD 21401. The listed phone number is (410) 224-2228.

What is Jackie Nichols's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jackie Nichols enrolled in Medicare?

Yes. Jackie 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.

When was this NPI record last updated?

The NPPES record for Jackie Nichols was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.