CATHI THERESA NICKLAS (FNP) – Family Nurse Practitioner, NPI 1053471052
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for CATHI THERESA NICKLAS (FNP)
1400 S GRAND AVE STE 801
LOS ANGELES, CA 90015
Phone: (213) 741-9727
Type: Location
275 7th Ave
New York, NY 10001
Phone: (212) 604-1701
Fax: (212) 604-1750
Type: Location
1400 S Grand Ave Ste 801
Los Angeles, CA 90015
Phone: (213) 741-9727
Type: Location
4140 W 190TH ST
TORRANCE, CA 905045513
Phone: (424) 315-2728
Fax: (424) 315-2729
Type: Mailing
8767 WILSHIRE BLVD FL 3
BEVERLY HILLS, CA 902112714
Phone: (424) 315-2728
Fax: (424) 315-2729
Type: Location
North Martel Avenue, Fairfax, West Hollywood, Los Angeles County, California, 90046-4101, United States
WEST HOLLYWOOD, CA 900466611
Phone: (323) 436-5019
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-08-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160517002298 | I | Nurse Practitioner | NY | TBD |
| I20190823000288 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 99 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 66 | 66 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 24 | 24 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 12 | 12 | $0 |
Insurance plans in this area (ZIP 90015)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NV | |
| - | CA | |
| - | CA | |
| - | CA | |
| H O S P I T A L I S T | CA | |
| Infectious Disease | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Physical Therapist In Private Practice | CA | |
| Hospitalist, Internal Medicine | CA |
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