DAKOTA DEAN NICHOLS (CRNP) – Family Nurse Practitioner, NPI 1205407319

DAKOTA DEAN NICHOLS (CRNP) is a healthcare provider. based in Pell city, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-180211 (AL). The NPI Number for DAKOTA DEAN NICHOLS (CRNP) is 1205407319

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DAKOTA DEAN NICHOLS (CRNP)
NPI
1205407319
Phone
(205) 814-9284
Address
70 PLAZA DR
Enumeration Date
9 July 2021
Last Update Date
2 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054171977
Graduation Year
2021 (5 years ago)
PAC ID
7810393253
Group Practice PAC ID
2769907831
Professional Enrollment ID
I20210909001859
Address ID
AL351780000VI131XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for DAKOTA DEAN NICHOLS (CRNP)

  • 70 PLAZA DR

    PELL CITY, AL 351259314

    Phone: (205) 814-9284

    Fax: (205) 814-9626

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 98 Open Payments records for all available years, with a total value of $1,600.

Total Amount is formed as General ($1,600) + Research ($0) + Ownership ($0) = $1,600.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Novo Nordisk Inc ($369).

Total Amount

$1,600

General + Research + Ownership

Payments

98

Total payment records

General Amount

$1,600

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210909001859INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0696Injection, ceftriaxone sodium, per 250 mg40191$0
96372Injection of drug or substance under skin or into muscle307175$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg297138$0
99213Established patient office or other outpatient visit, 20-29 minutes252211$0
J1885Injection, ketorolac tromethamine, per 15 mg14836$0
View full utilization report →

Insurance plans in this area (ZIP 35125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769907831View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Family PracticeAL

Reviews

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Frequently asked questions

What is DAKOTA DEAN NICHOLS (CRNP)'s NPI number?
DAKOTA DEAN NICHOLS (CRNP)'s NPI is 1205407319 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DAKOTA DEAN NICHOLS (CRNP)?
You should see DAKOTA DEAN NICHOLS (CRNP) as active in CMS-hosted NPPES data.
What kind of doctor is DAKOTA DEAN NICHOLS (CRNP)?
DAKOTA DEAN NICHOLS (CRNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is DAKOTA DEAN NICHOLS (CRNP) associated with Pell City?
Public fields place DAKOTA DEAN NICHOLS (CRNP) around Pell City, Alabama. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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