KARLEE FAYE NICKS
NPI 1871431767
Nurse Practitioner - Family in Sullivan, MO
About Karlee Faye Nicks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARLEE FAYE NICKS (NPI 1871431767) is an individual family provider in Sullivan, Missouri, licensed in Missouri (2025053007) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Washington, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Karlee Faye Nicks 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.
Medicare Billing Reassignment
Medicare enrollment records show Karlee Nicks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sullivan, MO 63080
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1164857397 (Missouri)
- 228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Washington
Acute Care Hospitals · Washington, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SULLIVAN, MO 63080
SULLIVAN, MO 63080
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 Karlee Nicks's NPI number?
The NPI number for Karlee Nicks is 1871431767. It was assigned to this individual provider in the NPPES registry on March 23, 2026.
Where is Karlee Nicks located?
Karlee Nicks practices at 1326 S Service Rd W Ste 10, Sullivan, MO 63080. The listed phone number is (573) 468-4455.
What is Karlee Nicks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Karlee Nicks enrolled in Medicare?
Yes. Karlee Nicks 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 Karlee Nicks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karlee Nicks reassigns Medicare benefits to Mercy Clinic East Communities (Sullivan, MO). 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 Karlee Nicks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karlee Nicks accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Karlee Nicks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Karlee Nicks affiliated with any hospitals?
According to CMS data, Karlee Nicks is affiliated with Mercy Hospital Washington.
When was this NPI record last updated?
The NPPES record for Karlee Nicks was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Karlee Faye Nicks · NPI 1871431767
Family physician in Sullivan, Missouri. Individual provider, active in the CMS NPPES registry since March 23, 2026.
## Identity
- **NPI:** 1871431767 (Entity type: Individual)
- **Enumerated:** March 23, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2025053007 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1326 S SERVICE RD W STE 10, Sullivan, MO 63080-2306
- **Phone:** (573) 468-4455 · **Fax:** (573) 468-4451
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic East Communities (NPI 1467716928, Sullivan, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871431767) · Data from the CMS NPPES public registry.