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NICOLE K NICHOLS ANP
NPI 1962836551
Nurse Practitioner in Saint Louis, MO

Active since August 30, 2013PECOS EnrolledAccepts Medicare Assignment
62.28/100
CMS Quality Rating
10012 KENNERLY RD, SUITE 101, SAINT LOUIS, MO 63128(314) 543-5200(314) 543-5219 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole K Nichols Anp NPPES

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

NICOLE K NICHOLS ANP (NPI 1962836551) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2013036540) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1962836551
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE K NICHOLSCredential: ANP
Location Address10012 KENNERLY RD, SUITE 101Saint Louis, MO 63128-2197
Mailing AddressPo Box 23340Saint Louis, MO 63156-3340 · (314) 543-5200 · Fax (314) 543-5219
Phone(314) 543-5200
Fax(314) 543-5219
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 30, 2013
Last NPPES UpdateMarch 24, 2016
✔ NPI 1962836551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2013036540
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 2010021406 (MO)
10012 KENNERLY RD, Saint Louis, MO 63128
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Other Names 1

Former Name (1)Nicole K Henderson Rn

Other Identifiers 1

Medicare PIN124510079MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole K Nichols Anp 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.

PECOS PAC ID648407791
PECOS Enrollment IDI20131216001811
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
224 services128 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
113 services94 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services22 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
19 services11 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
15 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

62.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality19.39
Promoting Interoperability82
Improvement Activities40
Cost69.88

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.

DR. CHRISTOPHER CHARLES BOWE MD
Internal Medicine
10012 KENNERLY RD, SUITE 102
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4225
DR. YAZAN A ABDALLA M.D.
Internal Medicine (Gastroenterology)
10012 KENNERLY RD, SUITE 404
SAINT LOUIS, MO 63128
St. Louis County (314) 543-5911
JEANE E KIENE FNP-C
Nurse Practitioner (Family)
10012 KENNERLY RD, SUITE 300
SAINT LOUIS, MO 63128
St. Louis County (314) 842-0602
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Obstetrics & Gynecology
10012 KENNERLY RD, STE 405
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4880
KATHLEEN L FISHER RN, BC, ANP
Nurse Practitioner (Adult Health)
10012 KENNERLY RD, SUITE 204
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1220
DR. ROBERT FRED BECKMAN M.D.
Surgery
10012 KENNERLY RD, SUITE 406
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1224
DR. THOMAS BENJAMIN MORRISON MD
Internal Medicine (Cardiovascular Disease)
10012 KENNERLY RD, STE 300
SAINT LOUIS, MO 63128
St. Louis County (314) 842-0602
DR. CHARLES F CAREY M.D.
Internal Medicine (Cardiovascular Disease)
10012 KENNERLY RD, STE 300
SAINT LOUIS, MO 63128
St. Louis County (314) 842-0602

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 Nicole Nichols's NPI number?

The NPI number for Nicole Nichols is 1962836551. It was assigned to this individual provider in the NPPES registry on August 30, 2013. The provider is also known as Nicole K Henderson Rn.

Where is Nicole Nichols located?

Nicole Nichols practices at 10012 Kennerly Rd Suite 101, Saint Louis, MO 63128. The listed phone number is (314) 543-5200.

What is Nicole Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Nichols enrolled in Medicare?

Yes. Nicole 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.

What insurance does Nicole Nichols accept?

Health plans from UnitedHealthcare list Nicole 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 Nicole Nichols affiliated with any hospitals?

According to CMS data, Nicole Nichols is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Nicole Nichols was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.