DR. AMY J. NICHOLS (M.D.) – General Practice Physician, NPI 1487807814
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
496 FAMILY PRACTICE in AK
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Provider Addresses for DR. AMY J. NICHOLS (M.D.)
2960, Tongass Avenue, Ketchikan, Ketchikan Gateway, Alaska, 99901, United States
KETCHIKAN, AK 999015742
Phone: (907) 228-4900
Fax: (800) 852-3264
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 14 Open Payments records for all available years, with a total value of $523.
Total Amount is formed as General ($523) + Research ($0) + Ownership ($0) = $523.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($147).
Total Amount
$523
General + Research + Ownership
Payments
14
Total payment records
General Amount
$523
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $147 |
| Gilead Sciences, Inc. | $118 |
| Exact Sciences Corporation | $89 |
| GlaxoSmithKline, LLC. | $35 |
| Merck Sharp & Dohme LLC | $29 |
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: 2018-05-21
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 |
|---|---|---|---|---|
| I20180521001332 | I | Family Practice | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99901)
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