DR. JENNIFER A NICKELL (MD) – Obstetrics & Gynecology Physician, NPI 1710082433

DR. JENNIFER A NICKELL (MD) is a healthcare provider. based in Sikeston, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 2003020141 (MO). The NPI Number for DR. JENNIFER A NICKELL (MD) is 1710082433

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER A NICKELL (MD)
NPI
1710082433
Phone
(573) 472-7535
Address
1013 N MAIN ST
Enumeration Date
14 September 2006
Last Update Date
15 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
2704431220
Graduation Year
1999 (27 years ago)
PAC ID
2961308754
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20231006002544
Address ID
KY420033802PA2605XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

929 OBSTETRICS/GYNECOLOGY in MO

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Provider Addresses for DR. JENNIFER A NICKELL (MD)

  • 1013, North Main Street, Sikeston, Scott County, Missouri, 63801, United States

    SIKESTON, MO 638015043

    Phone: (573) 472-7535

    Fax: (573) 472-7787

    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 18 Open Payments records for all available years, with a total value of $8,436.

Total Amount is formed as General ($8,436) + Research ($0) + Ownership ($0) = $8,436.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($8,314).

Total Amount

$8,436

General + Research + Ownership

Payments

18

Total payment records

General Amount

$8,436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

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: 2023-10-06

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031211000528IObstetrics/GynecologyMOTBD
I20231006002544IObstetrics/GynecologyKYTBD

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
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 63801)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

Can I cross-check DR. JENNIFER A NICKELL (MD) using NPI 1710082433?
NPI 1710082433 belongs to DR. JENNIFER A NICKELL (MD); compare other details if you need extra assurance.
Would DR. JENNIFER A NICKELL (MD) appear as active to a payer?
You can treat DR. JENNIFER A NICKELL (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. JENNIFER A NICKELL (MD)?
At a glance, DR. JENNIFER A NICKELL (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JENNIFER A NICKELL (MD)?
Directory geography for DR. JENNIFER A NICKELL (MD) centers on Sikeston, Missouri.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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