DR. ANDREW VINCENT NICHOLES (DO) – Emergency Medicine Physician, NPI 1093788747
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ANDREW VINCENT NICHOLES (DO)
3806 E CYPRESS POINT ST
SPRINGFIELD, MO 658026298
Phone:
Type: Mailing
PO BOX 802843
KANSAS CITY, MO 641802843
Phone: (417) 730-6430
Fax: (417) 269-7567
Type: Mailing
525 BRANSON LANDING BLVD
BRANSON, MO 656162052
Phone: (417) 335-7218
Fax: (417) 334-1507
Type: Location
2314, Scotney Court, Castlegate, College Station, Brazos County, Texas, 77845, United States
COLLEGE STATION, TX 778451933
Phone: (541) 761-5826
Type: Mailing
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 $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-02-01 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $19 |
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: 2024-08-06
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 |
|---|---|---|---|---|
| I20200414003044 | I | Emergency Medicine | MO | TBD |
| I20240806001830 | I | Emergency Medicine | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MO | |
| P A T H O L O G Y | HI | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| P A T H O L O G Y | MN | |
| Interventional Pain Management, Anesthesiology | NM | |
| Emergency Medicine | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Diagnostic Radiology | MO |
Reviews
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