MRS. ALICIA O NICHOLS (CRNP) – Dermatology Physician, NPI 1619462843
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MRS. ALICIA O NICHOLS (CRNP)
4410, Watermelon Road, Indian Lake, Northport, Tuscaloosa County, Alabama, 35473, United States
NORTHPORT, AL 354735204
Phone: (205) 345-1520
Type: Mailing
2279 VALLEYDALE RD STE 100
HOOVER, AL 352442111
Phone: (205) 214-7546
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 186 Open Payments records for all available years, with a total value of $3,929.
Total Amount is formed as General ($3,929) + Research ($0) + Ownership ($0) = $3,929.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($893).
Total Amount
$3,929
General + Research + Ownership
Payments
186
Total payment records
General Amount
$3,929
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-10-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181024000383 | I | Nurse Practitioner | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 573 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 281 | 208 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 196 | 156 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 188 | 166 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 153 | 128 | $0 |
Insurance plans in this area (ZIP 35473)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| - | AL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | AL | |
| Nurse Practitioner | AL | |
| D E R M A T O L O G Y | AL | |
| Nurse Practitioner | AL | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | AL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | AL | |
| D E R M A T O L O G Y | AL |
Reviews
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