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DANIEL NICHOLS MD
NPI 1821890963
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since March 27, 2025PECOS Enrolled
580 W 8TH ST FL II6, JACKSONVILLE, FL 32209(904) 383-1038(904) 244-4486 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel Nichols Md NPPES

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

DANIEL NICHOLS MD (NPI 1821890963) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821890963
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL NICHOLSCredential: MD
Location Address580 W 8TH ST FL II6Jacksonville, FL 32209-6533
Mailing Address580 W 8th St Fl Ii6Jacksonville, FL 32209-6533 · (904) 383-1038 · Fax (904) 244-4486
Phone(904) 383-1038
Fax(904) 244-4486
Sole ProprietorNo
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1821890963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
580 W 8TH ST FL II6, Jacksonville, FL 32209
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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)

Daniel Nichols Md 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.

Other Providers at the Same Location NPPES

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

ANDY SAUL ASHER MD
Student in an Organized Health Care Education/Training Program
580 W 8TH ST FL II6
JACKSONVILLE, FL 32209
Duval County (904) 244-9905

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 Daniel Nichols's NPI number?

The NPI number for Daniel Nichols is 1821890963. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Daniel Nichols located?

Daniel Nichols practices at 580 W 8th St Fl Ii6, Jacksonville, FL 32209. The listed phone number is (904) 383-1038.

What is Daniel Nichols's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Daniel Nichols enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Daniel Nichols was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.