MRS. AMY NICOLE NICHOLS MS, FNP-BC
NPI 1942742804
Nurse Practitioner - Family in Beverly Hills, CA

Active since November 09, 2016PECOS Enrolled
86.1/100
CMS Quality Rating
9675 BRIGHTON WAY SUITE 100, BEVERLY HILLS, CA 90210(310) 205-7310 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2023, Jun 8, 2023, Nov 9, 2016 (3 updates tracked since 2016).

About Mrs. Amy Nicole Nichols Ms, Fnp-bc NPPES

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

MRS. AMY NICOLE NICHOLS MS, FNP-BC (NPI 1942742804) is an individual family provider in Beverly Hills, California, licensed in California (95005333) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942742804
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMY NICOLE NICHOLSCredential: MS, FNP-BC
Location Address9675 BRIGHTON WAY SUITE 100Beverly Hills, CA 90210-2171
Mailing Address5767 W Century Blvd Suite 400Los Angeles, CA 90045-5631 · (310) 301-8707
Sole ProprietorYes
Enumeration DateNovember 9, 2016
Last NPPES UpdateSeptember 4, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
NPI 1942742804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95005333
9675 BRIGHTON WAY SUITE 100, Beverly Hills, CA 90210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Amy Nicole Nichols Ms, Fnp-bc 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 90210 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers20 claims20 services$21.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Amy Nichols's NPI number?

The NPI number for Amy Nichols is 1942742804. It was assigned to this individual provider in the NPPES registry on November 9, 2016.

Where is Amy Nichols located?

Amy Nichols practices at 9675 Brighton Way Suite 100, Beverly Hills, CA 90210. The listed phone number is (310) 205-7310.

What is Amy Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amy Nichols enrolled in Medicare?

Yes. Amy Nichols is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Nichols was last updated on September 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.