AMANDA E NICHOLS (CNP) – Family Nurse Practitioner, NPI 1154341741

AMANDA E NICHOLS (CNP) is a healthcare provider. based in Centerville, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 08915 (OH). The NPI Number for AMANDA E NICHOLS (CNP) is 1154341741

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA E NICHOLS (CNP)
NPI
1154341741
Phone
(937) 425-4000
Address
6661 Clyo Rd
Enumeration Date
19 July 2006
Last Update Date
11 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9373816340
Graduation Year
2004 (22 years ago)
PAC ID
7517970981
Group Practice PAC ID
0840104360
Professional Enrollment ID
I20060802000009
Address ID
OH454295039KE1745XRDXX400

Contacts

Secure Messaging
anichols567827@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for AMANDA E NICHOLS (CNP)

  • 6661 Clyo Rd

    Centerville, OH 454592702

    Phone: (937) 425-4000

    Fax: (937) 425-4002

    Type: Location

  • Bainbridge Road, Solon, Cuyahoga County, Ohio, 44023, United States

    SOLON, OH 441392275

    Phone: (440) 368-6868

    Fax: (440) 368-6866

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-08-02

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
I20060802000009INurse PractitionerOHTBD

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 minutes176152$0
99214Established patient office or other outpatient visit, 30-39 minutes11291$0
81003Automated urinalysis test2927$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1919$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1515$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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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: 0840104360View full group profile

Reviews

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Frequently asked questions

What is the registry number for AMANDA E NICHOLS (CNP)?
The registry entry for AMANDA E NICHOLS (CNP) shows NPI 1154341741.
Quick check: is AMANDA E NICHOLS (CNP) active?
Public NPPES data shows AMANDA E NICHOLS (CNP) with an active NPI status right now.
Which specialty label fits AMANDA E NICHOLS (CNP)?
NPPES ties AMANDA E NICHOLS (CNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to AMANDA E NICHOLS (CNP)?
AMANDA E NICHOLS (CNP) shows a connection to Centerville, Ohio in registry-derived data.
Can I export AMANDA E NICHOLS (CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.