WHITNEY WALLACE NICHOLS (D.O.) – Family Medicine Physician, NPI 1013321728

WHITNEY WALLACE NICHOLS (D.O.) is a healthcare provider. based in Scott city, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 9408294 (KS). The NPI Number for WHITNEY WALLACE NICHOLS (D.O.) is 1013321728

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
WHITNEY WALLACE NICHOLS (D.O.)
NPI
1013321728
Phone
(620) 872-2187
Address
201 ALBERT AVE
Enumeration Date
20 June 2014
Last Update Date
29 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
2062639446
Group Practice PAC ID
5799745717
Professional Enrollment ID
I20170920003066
Address ID
KS672129502WI8200XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for WHITNEY WALLACE NICHOLS (D.O.)

  • 201 ALBERT AVE

    SCOTT CITY, KS 67871

    Phone: (620) 872-2187

    Fax: (620) 872-7193

    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 13 Open Payments records for all available years, with a total value of $241.

Total Amount is formed as General ($241) + Research ($0) + Ownership ($0) = $241.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Dexcom, Inc. ($59).

Total Amount

$241

General + Research + Ownership

Payments

13

Total payment records

General Amount

$241

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-09-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170920003066IFamily PracticeKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6132$0
99238Hospital discharge day management, 30 minutes or less2825$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2720$0
View full utilization report →

Insurance plans in this area (ZIP 67871)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799745717View full group profile
NameSpecialtyState
Family PracticeKS
Family PracticeKS
Family PracticeKS
Family PracticeKS
Family PracticeKS
Family PracticeKS
-KS
Family PracticeKS
Internal Medicine, Emergency MedicineKS
Family PracticeKS

Reviews

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Frequently asked questions

What unique ID ties claims to WHITNEY WALLACE NICHOLS (D.O.)?
NPI 1013321728 is assigned to WHITNEY WALLACE NICHOLS (D.O.) under the national enumeration system.
Does this profile mean WHITNEY WALLACE NICHOLS (D.O.) is currently active?
Yes — WHITNEY WALLACE NICHOLS (D.O.) appears active in the national provider directory.
Can you summarize WHITNEY WALLACE NICHOLS (D.O.)'s specialty in plain language?
Clinically, the directory lists WHITNEY WALLACE NICHOLS (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is WHITNEY WALLACE NICHOLS (D.O.)'s primary listing?
We display Scott City, Kansas because that is what the record indicates for WHITNEY WALLACE NICHOLS (D.O.).
Is WHITNEY WALLACE NICHOLS (D.O.) a real provider?
This page reflects official NPPES data for NPI 1013321728. Always confirm identity and privileges with the practice and licensing boards.

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