JESSE NICHOLS DO
NPI 1891188892
Emergency Medicine in Joint Base Langley-eustis, VA

Active since March 15, 2015PECOS Enrolled
633D MEDICAL GROUP/SGHC, 77 NEALY AVE, JOINT BASE LANGLEY-EUSTIS, VA 23665(757) 764-6800 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2019, Jun 13, 2019 (2 updates tracked since 2019).

About Jesse Nichols Do NPPES

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

JESSE NICHOLS DO (NPI 1891188892) is an individual emergency medicine provider in Joint Base Langley-eustis, Virginia, licensed in Ohio (34.012968) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891188892
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJESSE NICHOLSCredential: DO
Location Address633D MEDICAL GROUP/SGHC, 77 NEALY AVEJoint Base Langley-eustis, VA 23665-2040
Mailing Address112 Low StButte, MT 59701-7633
Sole ProprietorNo
Enumeration DateMarch 15, 2015
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
NPI 1891188892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in OH · 34.012968 Licensed in VA · 0102205683
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

633D MEDICAL GROUP/SGHC, Joint Base Langley-eustis, VA 23665

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jesse Nichols Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23665 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Jesse Nichols's NPI number?

The NPI number for Jesse Nichols is 1891188892. It was assigned to this individual provider in the NPPES registry on March 15, 2015.

Where is Jesse Nichols located?

Jesse Nichols practices at 633D Medical Group/Sghc 77 Nealy Ave, Joint Base Langley-Eustis, VA 23665. The listed phone number is (757) 764-6800.

What is Jesse Nichols's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jesse Nichols enrolled in Medicare?

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

What insurance does Jesse Nichols accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Jesse Nichols 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.

When was this NPI record last updated?

The NPPES record for Jesse Nichols was last updated on July 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.