JENNIFER NICHOLS (APRN) – Family Nurse Practitioner, NPI 1487031159

JENNIFER NICHOLS (APRN) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 90378 (OK). The NPI Number for JENNIFER NICHOLS (APRN) is 1487031159

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER NICHOLS (APRN)
NPI
1487031159
Phone
(610) 382-4943
Address
PO BOX 844737
Enumeration Date
1 May 2015
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5804303333
Graduation Year
2015 (11 years ago)
PAC ID
1759694896
Group Practice PAC ID
5597755306
Professional Enrollment ID
I20150720001206
Address ID
OK737172363AL410XXSTXX324
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for JENNIFER NICHOLS (APRN)

  • PO BOX 844737

    ATT: IPM CREDENTIALING

    DALLAS, TX 752844737

    Phone: (610) 382-4943

    Fax: (610) 878-3965

    Type: Mailing

  • 615 E OKLAHOMA AVE

    SUITE 203

    ENID, OK 737015952

    Phone: (580) 242-3870

    Fax: (580) 242-4046

    Type: Location

  • PO BOX 727

    ALVA, OK 737170727

    Phone: (580) 430-3333

    Fax: (580) 430-3375

    Type: Mailing

  • 410 4TH ST STE J

    ALVA, OK 737172363

    Phone: (580) 430-3333

    Fax: (580) 430-3375

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Exact Sciences Corporation ($51).

Total Amount

$108

General + Research + Ownership

Payments

6

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2015-07-20

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
I20150720001206INurse PractitionerOKTBD

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 minutes174135$0
99214Established patient office or other outpatient visit, 30-39 minutes11375$0
96372Injection of drug or substance under skin or into muscle4032$0
81002Urinalysis, manual test2621$0
J1040Injection, methylprednisolone acetate, 80 mg1717$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 5597755306View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerOK
Physician AssistantOK
Emergency MedicineOK
Nurse PractitionerOK
Internal MedicineOK
Physician AssistantOK
Physician AssistantOK

Reviews

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Frequently asked questions

What is JENNIFER NICHOLS (APRN)'s NPI number?
JENNIFER NICHOLS (APRN)'s NPI is 1487031159 — the number used across U.S. healthcare to identify this provider.
Would JENNIFER NICHOLS (APRN) appear as active to a payer?
You can treat JENNIFER NICHOLS (APRN) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JENNIFER NICHOLS (APRN)?
At a glance, JENNIFER NICHOLS (APRN) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER NICHOLS (APRN)?
Directory geography for JENNIFER NICHOLS (APRN) centers on Dallas, Texas.
Can I trust this NPI listing for JENNIFER NICHOLS (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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