DANA RACHEL NICHOLS NP-C
NPI 1902540909
Nurse Practitioner - Family in Anthem, AZ
About Dana Rachel Nichols Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANA RACHEL NICHOLS NP-C (NPI 1902540909) is an individual family provider in Anthem, Arizona, licensed in Arizona (274158) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dana Rachel Nichols Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dana Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glendale, AZ 85308
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Phoenix Children's Hospital
- 1,416 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85086 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dana Nichols's NPI number?
The NPI number for Dana Nichols is 1902540909. It was assigned to this individual provider in the NPPES registry on April 25, 2022.
Where is Dana Nichols located?
Dana Nichols practices at 41930 N Venture Dr, Anthem, AZ 85086. The listed phone number is (623) 551-0442.
What is Dana Nichols's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dana Nichols enrolled in Medicare?
Yes. Dana Nichols is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dana Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dana Nichols reassigns Medicare benefits to Phoenix Children's Medical Group (Glendale, AZ). 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 Dana 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 Dana Nichols was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Dana Rachel Nichols, NP-C · NPI 1902540909
Family physician in Anthem, Arizona. Individual provider, active in the CMS NPPES registry since April 25, 2022.
## Identity
- **NPI:** 1902540909 (Entity type: Individual)
- **Enumerated:** April 25, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 274158 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 41930 N VENTURE DR, Anthem, AZ 85086-3857
- **Phone:** (623) 551-0442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Phoenix Children's Medical Group (NPI 1679703441, Glendale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1902540909) · Data from the CMS NPPES public registry.