BRANDI NICHOLS (MD) – Obstetrics & Gynecology Physician, NPI 1578656674

BRANDI NICHOLS (MD) is a healthcare provider. based in Jefferson city, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 2010017190 (MO). The NPI Number for BRANDI NICHOLS (MD) is 1578656674

Main info

Female
20 Years Of Experience
Name
BRANDI NICHOLS (MD)
NPI
1578656674
Phone
(573) 635-5264
Address
PO BOX 104240
Enumeration Date
2 October 2006
Last Update Date
14 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5736322777
Graduation Year
2006 (20 years ago)
PAC ID
3971637240
Group Practice PAC ID
2062456015
Professional Enrollment ID
I20100823000708
Address ID
MO651012854JE1511XDRXX300

Contacts

Main Contact
https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

929 OBSTETRICS/GYNECOLOGY in MO

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Provider Addresses for BRANDI NICHOLS (MD)

  • PO BOX 104240

    JEFFERSON CITY, MO 651104240

    Phone: (573) 635-5264

    Type: Mailing

  • 1241, West Stadium Boulevard, Jefferson City, Cole County, Missouri, 65109, United States

    JEFFERSON CITY, MO 651096023

    Phone: (573) 636-5248

    Fax: (573) 636-9390

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $3,553.

Total Amount is formed as General ($3,553) + Research ($0) + Ownership ($0) = $3,553.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Horizon Therapeutics plc ($2,325).

Total Amount

$3,553

General + Research + Ownership

Payments

67

Total payment records

General Amount

$3,553

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2010-08-23

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
I20100823000708IObstetrics/GynecologyMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2214$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1919$0
View full utilization report →

Insurance plans in this area (ZIP 65110)

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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: 2062456015View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family PracticeMO
Family PracticeMO
Family PracticeMO
Nurse PractitionerMO
-MO
Family PracticeMO
Internal Medicine, Pediatric MedicineMO
Nurse PractitionerMO
Family PracticeMO

Reviews

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Frequently asked questions

Where can patients find BRANDI NICHOLS (MD)'s NPI?
You can confirm BRANDI NICHOLS (MD) with NPI 1578656674; it appears in the national provider directory.
Does this profile mean BRANDI NICHOLS (MD) is currently active?
Yes — BRANDI NICHOLS (MD) appears active in the national provider directory.
What does BRANDI NICHOLS (MD) treat or focus on?
Patients typically see BRANDI NICHOLS (MD) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRANDI NICHOLS (MD)?
The page summarizes Jefferson City, Missouri for BRANDI NICHOLS (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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