1. Home
  2. Directory
  3. California
  4. Davis
  5. Family Medicine
  6. NPI Profile

JACQUELINE NICHOLS NP
NPI 1831995893
Family Medicine in Davis, CA

Active since February 20, 2025PECOS EnrolledAccepts Medicare Assignment
635 ANDERSON RD STE 10, DAVIS, CA 95616(530) 758-1122 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacqueline Nichols Np NPPES

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

JACQUELINE NICHOLS NP (NPI 1831995893) is an individual family medicine provider in Davis, California, licensed in California (95033756) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831995893
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACQUELINE NICHOLSCredential: NP
Location Address635 ANDERSON RD STE 10Davis, CA 95616-3505
Mailing Address1265 Woodvale DrDixon, CA 95620-2654
Phone(530) 758-1122
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1831995893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 95033756
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
635 ANDERSON RD STE 10, Davis, CA 95616
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Nichols Np 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 ID1658882972
PECOS Enrollment IDI20250613003130
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Valley Medical Foundation
14 mi
Multi-Specialty
2700 GATEWAY OAKS DR
Sacramento, CA 95833
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1952327256 (800) 470-0071

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95616 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES 6

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

JASLEEN KAUR FNP
Nurse Practitioner (Family)
635 ANDERSON RD STE 10
DAVIS, CA 95616
Yolo County (530) 758-1122
CHARAN PREET FNP-C
Nurse Practitioner (Family)
635 ANDERSON RD STE 10
DAVIS, CA 95616
Yolo County (707) 631-0303
MR. JOEL MICHAEL GREY PA-C
Physician Assistant
635 ANDERSON RD STE 10
DAVIS, CA 95616
Yolo County (530) 758-1122
DR. ANUJ MOGLA MD
Family Medicine
635 ANDERSON RD STE 10
DAVIS, CA 95616
Yolo County (530) 758-1122
SHREYA CHANDRASHEKHAR DO
Family Medicine
635 ANDERSON RD STE 10
DAVIS, CA 95616
Yolo County (530) 758-1122
LINDA C LEE FNP
Nurse Practitioner (Family)
635 ANDERSON RD STE 10
DAVIS, CA 95616
Yolo County (530) 758-1122

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 Jacqueline Nichols's NPI number?

The NPI number for Jacqueline Nichols is 1831995893. It was assigned to this individual provider in the NPPES registry on February 20, 2025.

Where is Jacqueline Nichols located?

Jacqueline Nichols practices at 635 Anderson Rd Ste 10, Davis, CA 95616. The listed phone number is (530) 758-1122.

What is Jacqueline Nichols's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacqueline Nichols enrolled in Medicare?

Yes. Jacqueline 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.

Which organization bills Medicare for Jacqueline Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Nichols reassigns Medicare benefits to Sutter Valley Medical Foundation (Sacramento, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Nichols was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.