MCKENZIE GIBSON NICKLES
NPI 1891554283
Internal Medicine in Whitesburg, KY

Q: What is Mckenzie Nickles's NPI number?

The NPI number for Mckenzie Nickles is 1891554283. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Mckenzie Nickles's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mckenzie Nickles was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 18, 2024PECOS EnrolledAccepts Medicare Assignment

240 HOSPITAL RD, WHITESBURG, KY 41858(606) 633-3500 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mckenzie Gibson Nickles NPPES

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

MCKENZIE GIBSON NICKLES (NPI 1891554283) is an individual internal medicine provider in Whitesburg, Kentucky, licensed in Kentucky (R7101) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891554283

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMCKENZIE GIBSON NICKLES

Location Address240 HOSPITAL RDWhitesburg, KY 41858-7627

Mailing Address240 Hospital RdWhitesburg, KY 41858-7627

Phone(606) 633-3500

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 18, 2024

Last NPPES UpdateMay 20, 2026

NPPES CertifiedMay 20, 2026

✔ NPI 1891554283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · R7101

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

240 HOSPITAL RD, Whitesburg, KY 41858

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

Mckenzie Gibson Nickles 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 ID4981178100

PECOS Enrollment IDI20260629004116

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 Mckenzie Nickles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Green Valley Emergency Physicians, LLC

322 mi

Emergency Medicine

1530 LONE OAK RD
Paducah, KY 42003

Reassigned Medicare billing, Kentucky enrollment
220 clinicians in this Medicare group

NPI 1720755739 (271) 444-2444

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.

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180002

Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41858 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 20

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

MOHSIN ABID

Student in an Organized Health Care Education/Training Program