COURTNEY R NICHOLS (NP-C) – Family Nurse Practitioner, NPI 1235645151

COURTNEY R NICHOLS (NP-C) is a healthcare provider. based in La plata, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 2007025283 (MO). The NPI Number for COURTNEY R NICHOLS (NP-C) is 1235645151

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY R NICHOLS (NP-C)
NPI
1235645151
Phone
(660) 332-7676
Address
29934 July Rd
Enumeration Date
15 December 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6606657575
Graduation Year
2017 (9 years ago)
PAC ID
7315206455
Group Practice PAC ID
1254236300
Professional Enrollment ID
I20180117000929
Address ID
MO635014518KI1611XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

7,065 NURSE PRACTITIONER in MO

Provider Addresses for COURTNEY R NICHOLS (NP-C)

  • 29934 July Rd

    LA Plata, MO 635493129

    Phone: (660) 332-7676

    Fax: (660) 665-7576

    Type: Location

  • Hannibal, 24, Taborstraße, Afrikanerviertel, KG Leopoldstadt, Leopoldstadt, Vienna, 1020, Austria

    HANNIBAL, MO 634011239

    Phone: (660) 665-7575

    Fax: (660) 665-7576

    Type: Mailing

  • South Baltimore Street, Kirksville, Adair County, Missouri, 63501, United States

    KIRKSVILLE, MO 635014519

    Phone: (660) 665-7575

    Fax: (660) 665-7576

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $1,267.

Total Amount is formed as General ($1,267) + Research ($0) + Ownership ($0) = $1,267.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: ABBVIE INC. ($229).

Total Amount

$1,267

General + Research + Ownership

Payments

82

Total payment records

General Amount

$1,267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

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: 2018-01-17

PECOS data refreshed: 2026-06-15

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
I20180117000929INurse PractitionerMOTBD

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
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count10480$0
80053Blood test, comprehensive group of blood chemicals9074$0
84443Blood test, thyroid stimulating hormone (tsh)8567$0
84439Thyroxine (thyroid chemical), free8065$0
82607Cyanocobalamin (vitamin b-12) level7261$0
View full utilization report →

Insurance plans in this area (ZIP 63549)

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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: 1254236300View full group profile
NameSpecialtyState
N E U R O L O G YIL
Diagnostic RadiologyAZ
Diagnostic RadiologyOK
Nurse PractitionerMO
Internal MedicineMO
Emergency MedicineMO
Diagnostic RadiologyND
Internal Medicine, Cardiovascular Disease (Cardiology)MO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What unique ID ties claims to COURTNEY R NICHOLS (NP-C)?
NPI 1235645151 is assigned to COURTNEY R NICHOLS (NP-C) under the national enumeration system.
Does this profile mean COURTNEY R NICHOLS (NP-C) is currently active?
Yes — COURTNEY R NICHOLS (NP-C) appears active in the national provider directory.
What does COURTNEY R NICHOLS (NP-C) treat or focus on?
Patients typically see COURTNEY R NICHOLS (NP-C) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is COURTNEY R NICHOLS (NP-C)'s primary listing?
We display La Plata, Missouri because that is what the record indicates for COURTNEY R NICHOLS (NP-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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