JACQUELYN MARIE NICKELE
NPI 1922418169
Dentist - Orthodontics and Dentofacial Orthopedics in Louisville, KY

Active since April 28, 2014PECOS Enrolled
1815 BARDSTOWN RD, LOUISVILLE, KY 40205(502) 459-4120 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacquelyn Marie Nickele NPPES

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

JACQUELYN MARIE NICKELE (NPI 1922418169) is an individual orthodontics and dentofacial orthopedics provider in Louisville, Kentucky, licensed in Kentucky (9476) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922418169
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameJACQUELYN MARIE NICKELE
Location Address1815 BARDSTOWN RDLouisville, KY 40205-1433
Mailing AddressPo Box 860036Minneapolis, MN 55486-0036 · (502) 459-4120
Sole ProprietorNo
Enumeration DateApril 28, 2014
Last NPPES UpdateMay 31, 2017
NPI 1922418169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in KY · 9476 Licensed in IN · 12012676A
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 9476 (KY)
1815 BARDSTOWN RD, Louisville, KY 40205

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)

Jacquelyn Marie Nickele 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 40205 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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 3

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

Dentist (General Practice)
1815 BARDSTOWN RD
LOUISVILLE, KY 40205
Dentist (General Practice)
1815 BARDSTOWN RD
LOUISVILLE, KY 40205
Dentist (General Practice)
1815 BARDSTOWN RD
LOUISVILLE, KY 40205

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 Jacquelyn Nickele's NPI number?

The NPI number for Jacquelyn Nickele is 1922418169. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Jacquelyn Nickele located?

Jacquelyn Nickele practices at 1815 Bardstown Rd, Louisville, KY 40205. The listed phone number is (502) 459-4120.

What is Jacquelyn Nickele's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Jacquelyn Nickele enrolled in Medicare?

Yes. Jacquelyn Nickele is registered in the Medicare PECOS enrollment system.

What insurance does Jacquelyn Nickele accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 13 other insurers list Jacquelyn Nickele 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 Jacquelyn Nickele was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.