DR. ANNA JEANNINE NICHOLS (M.D., PH.D.) – Dermatology Physician, NPI 1518227594
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,369 DERMATOLOGY in FL
Provider Addresses for DR. ANNA JEANNINE NICHOLS (M.D., PH.D.)
1295 NW 14TH ST
DEPARTMENT OF DERMATOLOGY & CUTANEOUS SURGERY,SUITE K-M
MIAMI, FL 331251610
Phone: (305) 243-6735
Fax: (305) 243-6191
Type: Mailing
1611 NW 12TH AVE
MIAMI, FL 331361005
Phone: (305) 355-1122
Fax: (305) 355-1123
Type: Location
354 MOUNTAIN VIEW DR STE 300
COLCHESTER, VT 054465988
Phone: (802) 864-0192
Fax: (802) 860-4919
Type: Mailing
2 HEALEY AVE
PLATTSBURGH, NY 129012413
Phone: (802) 864-0192
Fax: (802) 860-4919
Type: Location
354 Mountain View Dr Ste 300
Colchester, VT 054465988
Phone: (802) 864-0192
Fax: (802) 860-4919
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $9,452.
Total Amount is formed as General ($9,452) + Research ($0) + Ownership ($0) = $9,452.
Last reported payment date: 2024-06-14 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($9,452).
Total Amount
$9,452
General + Research + Ownership
Payments
1
Total payment records
General Amount
$9,452
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $9,452 |
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: 2024-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20160928002248 | I | Dermatology | FL | TBD |
| I20240613001065 | I | Dermatology | NY | TBD |
| I20240613001200 | I | Dermatology | VT | 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 | 243 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 206 | 136 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 137 | 108 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 79 | 65 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 76 | 61 | $0 |
Insurance plans in this area (ZIP 33125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | VT | |
| Physician Assistant | VT | |
| Physician Assistant | VT | |
| D E R M A T O L O G Y | VT | |
| D E R M A T O L O G Y | NY | |
| Nurse Practitioner | VT | |
| D E R M A T O L O G Y | CT | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | VT | |
| Physician Assistant | VT |
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