JILL A NICHOLSON (MD) – Emergency Medicine Physician, NPI 1689655516
Emergency Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JILL A NICHOLSON (MD)
Licking Memorial Hospital, 1320, West Main Street, Newark, Licking County, Ohio, 43055, United States
NEWARK, OH 43055
Phone: (220) 564-4151
Fax: (220) 564-7153
Type: Mailing
420 N JAMES RD
COLUMBUS, OH 432191834
Phone: (614) 257-5200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-04-27
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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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 43055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| U R O L O G Y | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Emergency Medicine | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Pain Management | OH |
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