HEIDI NICHOLS (CNP) – Family Nurse Practitioner, NPI 1972501138

HEIDI NICHOLS (CNP) is a healthcare provider. based in Toledo, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 4704140375 (MI). The NPI Number for HEIDI NICHOLS (CNP) is 1972501138

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI NICHOLS (CNP)
NPI
1972501138
Phone
(419) 479-5605
Address
4235 SECOR RD
Enumeration Date
12 July 2005
Last Update Date
21 June 2011

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
0345330593
Group Practice PAC ID
5698673382
Professional Enrollment ID
I20100914001046
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for HEIDI NICHOLS (CNP)

  • 4235, Secor Road, Deaveaux, Toledo, Lucas County, Ohio, 43623, United States

    TOLEDO, OH 436234231

    Phone: (419) 479-5605

    Type: Mailing

  • 777, Kimole Lane, Adrian, Lenawee County, Michigan, 49221, United States

    ADRIAN, MI 492211478

    Phone: (517) 263-3393

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,362.

Total Amount is formed as General ($1,362) + Research ($0) + Ownership ($0) = $1,362.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Janssen Biotech, Inc. ($126).

Total Amount

$1,362

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,362

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2007-12-12

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
I20071212000402INurse PractitionerMITBD

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 minutes233199$0
View full utilization report →

Insurance plans in this area (ZIP 43623)

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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: 5698673382View full group profile
NameSpecialtyState
U R O L O G YOH
U R O L O G YOH
Pulmonary Disease, Critical Care (Intensivists)OH
H E M A T O L O G Y/ O N C O L O G YOH
G A S T R O E N T E R O L O G YOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Orthopedic SurgeryOH

Reviews

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Frequently asked questions

What identifier follows HEIDI NICHOLS (CNP) across health systems?
The NPI 1972501138 uniquely identifies HEIDI NICHOLS (CNP) in U.S. healthcare data.
Quick check: is HEIDI NICHOLS (CNP) active?
Public NPPES data shows HEIDI NICHOLS (CNP) with an active NPI status right now.
How should patients interpret HEIDI NICHOLS (CNP)'s specialty?
The extract shows Family Nurse Practitioner for HEIDI NICHOLS (CNP). Clinical services aligned with this taxonomy classification.
Which community is linked to HEIDI NICHOLS (CNP)?
HEIDI NICHOLS (CNP) shows a connection to Toledo, Ohio in registry-derived data.
Can I export HEIDI NICHOLS (CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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