DR. JESSICA R NICHOLS (O.D.) – Optometrist, NPI 1528320959

DR. JESSICA R NICHOLS (O.D.) is a healthcare provider. based in Lenexa, Kansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1924 (KS). The NPI Number for DR. JESSICA R NICHOLS (O.D.) is 1528320959

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA R NICHOLS (O.D.)
NPI
1528320959
Phone
(785) 691-5407
Address
13818 W 80TH TER
Enumeration Date
12 June 2012
Last Update Date
4 March 2024

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9134413937
Graduation Year
2012 (14 years ago)
PAC ID
0648429829
Group Practice PAC ID
0345304267
Professional Enrollment ID
I20141105001073
Address ID
KS662263563SH22414STXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

Provider Addresses for DR. JESSICA R NICHOLS (O.D.)

  • 13818 W 80TH TER

    LENEXA, KS 662152418

    Phone: (785) 691-5407

    Type: Mailing

  • 22414 W 66TH ST

    SHAWNEE, KS 662263514

    Phone: (913) 441-3838

    Fax: (913) 441-3938

    Type: Location

  • 1528 NE 96TH ST

    SUITE #A

    LIBERTY, MO 640681364

    Phone: (816) 781-5444

    Fax: (816) 781-5474

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $447.

Total Amount is formed as General ($447) + Research ($0) + Ownership ($0) = $447.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($188).

Total Amount

$447

General + Research + Ownership

Payments

15

Total payment records

General Amount

$447

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2014-11-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121003000362IOptometryMOTBD
I20141105001073IOptometryKSTBD

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
92014Established patient complete exam of visual system5151$0
View full utilization report →

Insurance plans in this area (ZIP 66215)

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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: 0345304267View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS

Reviews

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Frequently asked questions

What is the standard ID for DR. JESSICA R NICHOLS (O.D.) in the U.S.?
In the U.S., DR. JESSICA R NICHOLS (O.D.) is identified by NPI 1528320959.
Should I treat DR. JESSICA R NICHOLS (O.D.) as an active provider?
Patients and plans typically see DR. JESSICA R NICHOLS (O.D.) as active in the national extract.
How should patients interpret DR. JESSICA R NICHOLS (O.D.)'s specialty?
The extract shows Optometrist for DR. JESSICA R NICHOLS (O.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. JESSICA R NICHOLS (O.D.)?
The directory associates DR. JESSICA R NICHOLS (O.D.) with Lenexa, Kansas. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. JESSICA R NICHOLS (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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