MRS. JESSICA L NICHOLS (MS, CCC-A) – Audiologist, NPI 1972776292
Audiologist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
249 QUALIFIED AUDIOLOGIST in IN
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Provider Addresses for MRS. JESSICA L NICHOLS (MS, CCC-A)
2022, Kelle Drive, Chesterton, Porter County, Indiana, 46304, United States
CHESTERTON, IN 463048708
Phone: (219) 364-4004
Fax: (219) 326-2584
Type: Mailing
304, Detroit Street, La Porte, LaPorte County, Indiana, 46350, United States
LA PORTE, IN 463502497
Phone: (219) 325-3770
Fax: (219) 325-8181
Type: Location
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.
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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: 2008-09-24
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 |
|---|---|---|---|---|
| I20080924000239 | I | Qualified Audiologist | IN | 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 |
|---|---|---|---|---|
| 92557 | Comprehensive hearing and speech recognition test | 315 | 268 | $0 |
| 92567 | Test to assess middle ear function | 313 | 267 | $0 |
Insurance plans in this area (ZIP 46304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | WI | |
| Nurse Practitioner | IN | |
| O P H T H A L M O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Interventional Cardiology | TX | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IL |
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