AMANDA J NICHOLS DO
NPI 1912384066
Family Medicine in Tulsa, OK
About Amanda J Nichols Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA J NICHOLS DO (NPI 1912384066) is an individual family medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (6095) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Amanda J Nichols Do 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 Reassignments
2Medicare enrollment records show Amanda Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 820 clinicians in this Medicare group
West Memphis, AR 72301
- Reassigned Medicare billing, Oklahoma enrollment
- 79 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 7
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St John Medical Center
Acute Care Hospitals · Tulsa, OKAscension St John Broken Arrow
Acute Care Hospitals · Broken Arrow, OKAscension St John Sapulpa
Critical Access Hospitals · Sapulpa, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
TULSA, OK 74136
TULSA, OK 74136
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 Amanda Nichols's NPI number?
The NPI number for Amanda Nichols is 1912384066. It was assigned to this individual provider in the NPPES registry on April 28, 2015. The provider is also known as Amanda J Lucashu Do.
Where is Amanda Nichols located?
Amanda Nichols practices at 7501 Riverside Pkwy, Tulsa, OK 74136. The listed phone number is (918) 710-4200.
What is Amanda Nichols's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Amanda Nichols enrolled in Medicare?
Yes. Amanda Nichols 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 organizations bill Medicare for Amanda Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Nichols reassigns Medicare benefits to 2 organizations: St. John Physicians, Inc. (Tulsa, OK) and Hospital Care Consultants Region II Inc (West Memphis, AR). Each 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 Amanda Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Nichols accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and CommunityCare list Amanda 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.
Is Amanda Nichols affiliated with any hospitals?
According to CMS data, Amanda Nichols is affiliated with Ascension St John Medical Center, Ascension St John Broken Arrow and Ascension St John Sapulpa.
When was this NPI record last updated?
The NPPES record for Amanda Nichols was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Amanda J Nichols, DO · NPI 1912384066
Family Medicine physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since April 28, 2015.
## Identity
- **NPI:** 1912384066 (Entity type: Individual)
- **Enumerated:** April 28, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 6095 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 7501 RIVERSIDE PKWY, Tulsa, OK 74136-5056
- **Phone:** (918) 710-4200
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): St. John Physicians, Inc. (NPI 1336194406, Tulsa, OK); Hospital Care Consultants Region II Inc (NPI 1558491449, West Memphis, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912384066) · Data from the CMS NPPES public registry.