BRENDA A. NICHOLSON MSPT
NPI 1902909179
Physical Therapist in Kokomo, IN
About Brenda A. Nicholson Mspt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA A. NICHOLSON MSPT (NPI 1902909179) is an individual physical therapist in Kokomo, Indiana, licensed in Indiana (05005364A) and active in the NPI registry since September 2006. She is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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
Brenda A. Nicholson Mspt 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 Brenda Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kokomo, IN 46902
- Reassigned Medicare billing, Indiana enrollment
- 17 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46902 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KOKOMO, IN 46902
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 Brenda Nicholson's NPI number?
The NPI number for Brenda Nicholson is 1902909179. It was assigned to this individual provider in the NPPES registry on September 6, 2006.
Where is Brenda Nicholson located?
Brenda Nicholson practices at 2312 S Dixon Rd Suite 250, Kokomo, IN 46902. The listed phone number is (765) 455-2122.
What is Brenda Nicholson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Brenda Nicholson enrolled in Medicare?
Yes. Brenda Nicholson 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 Brenda Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Nicholson reassigns Medicare benefits to Elite Therapy Corp (Kokomo, IN). 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 Brenda Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brenda Nicholson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Brenda Nicholson 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 Brenda Nicholson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Brenda A. Nicholson, MSPT · NPI 1902909179
Physical Therapist provider in Kokomo, Indiana. Individual provider, active in the CMS NPPES registry since September 6, 2006.
## Identity
- **NPI:** 1902909179 (Entity type: Individual)
- **Enumerated:** September 6, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 05005364A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2312 S DIXON RD, SUITE 250, Kokomo, IN 46902-6401
- **Phone:** (765) 455-2122 · **Fax:** (765) 455-3122
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Elite Therapy Corp (NPI 1235693300, Kokomo, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1902909179) · Data from the CMS NPPES public registry.