STEPHANIE R NICHOLSON FNP-C
NPI 1811596877
Nurse Practitioner - Family in Versailles, MO

Q: What is Stephanie Nicholson's NPI number?

The NPI number for Stephanie Nicholson is 1811596877. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Q: What is Stephanie Nicholson's specialty?

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

Active since October 21, 2020PECOS EnrolledAccepts Medicare Assignment

1109 W CLAY RD, VERSAILLES, MO 65084(573) 378-2351(660) 826-1300 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Dec 14, 2020, Oct 21, 2020 (3 updates tracked since 2020).

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About Stephanie R Nicholson Fnp-c NPPES

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

STEPHANIE R NICHOLSON FNP-C (NPI 1811596877) is an individual family provider in Versailles, Missouri, licensed in Missouri (2020040319) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1811596877

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHANIE R NICHOLSONCredential: FNP-C

Location Address1109 W CLAY RDVersailles, MO 65084-1177

Mailing Address305 W Main StSedalia, MO 65301-3821 · (660) 310-0909 · Fax (888) 979-8868

Phone(573) 378-2351

Fax(660) 826-1300

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 21, 2020

Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1811596877 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 · 2020040319

1109 W CLAY RD, Versailles, MO 65084

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 and accepts Medicare assignment

Stephanie R Nicholson Fnp-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 ID2466866959

PECOS Enrollment IDI20210125000427

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.

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260009

Location601 E 14th StSedalia, MO 65302 · Pettis County

Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number260141

LocationOne Hospital DriveColumbia, MO 65212 · Boone County

Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260186

Location54 Hospital DriveOsage Beach, MO 65065 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65084 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

4 suppliers19 claims36 services$4.21 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

2 suppliers20 claims2,820 services$0.08 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers23 claims23 services$20.36 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 11

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

MRS. MARY ANN DIMARSICO DO

Family Medicine