JENNIFER NICHOLS (CRNP) – Acute Care Nurse Practitioner, NPI 1740726017

JENNIFER NICHOLS (CRNP) is a healthcare provider. based in Malvern, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SPO17004 (PA). The NPI Number for JENNIFER NICHOLS (CRNP) is 1740726017

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER NICHOLS (CRNP)
NPI
1740726017
Phone
(610) 525-2601
Address
414 PAOLI PIKE
Enumeration Date
11 January 2017
Last Update Date
5 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
1052698008
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20230406000097
Address ID
IL600268001GL2600XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

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Provider Addresses for JENNIFER NICHOLS (CRNP)

  • Bryn Mawr Rehab Hospital, 414, Paoli Pike, Goshenville, East Goshen Township, Chester County, Pennsylvania, 19355, United States

    MALVERN, PA 193553311

    Phone: (610) 525-2601

    Type: Mailing

  • 600, Haverford Road, Haverford Township, Delaware County, Pennsylvania, 19041, United States

    HAVERFORD, PA 190411139

    Phone: (610) 525-2601

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($22).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

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: 2023-04-06

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
I20170501001561INurse PractitionerPATBD
I20230406000097INurse PractitionerNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19355)

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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: 9032020490View full group profile

Reviews

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Frequently asked questions

Can I verify JENNIFER NICHOLS (CRNP) with an NPI only?
You can start verification with NPI 1740726017 for JENNIFER NICHOLS (CRNP), then check state licensing separately.
Is JENNIFER NICHOLS (CRNP) still practicing?
JENNIFER NICHOLS (CRNP) is currently listed as active in the public NPI registry.
What is JENNIFER NICHOLS (CRNP)'s primary classification?
Acute Care Nurse Practitioner is the headline specialty for JENNIFER NICHOLS (CRNP) here. Clinical services aligned with this taxonomy classification.
Where is JENNIFER NICHOLS (CRNP) based?
JENNIFER NICHOLS (CRNP) is tied to Malvern, Pennsylvania in the data we show; additional addresses may exist on the full record.
Why does JENNIFER NICHOLS (CRNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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