DR. TIFFANI MARIA NICHOLS (DO) – Internal Medicine Physician, NPI 1760678106

DR. TIFFANI MARIA NICHOLS (DO) is a healthcare provider. based in Wise, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 0102202126 (VA). The NPI Number for DR. TIFFANI MARIA NICHOLS (DO) is 1760678106

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIFFANI MARIA NICHOLS (DO)
NPI
1760678106
Phone
(276) 328-8910
Address
716 SPRING ST
Enumeration Date
19 September 2007
Last Update Date
22 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6068250009
Graduation Year
2006 (20 years ago)
PAC ID
1254484157
Group Practice PAC ID
0143139337
Professional Enrollment ID
I20210628002854
Address ID
KY407691123WI109XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,934 INTERNAL MEDICINE in VA

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Provider Addresses for DR. TIFFANI MARIA NICHOLS (DO)

  • Spring Street, Big Stone Gap, Wise County, Virginia, 24219, United States

    SUITE 204

    WISE, VA 24293

    Phone: (276) 328-8910

    Fax: (276) 328-4318

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $390.

Total Amount is formed as General ($390) + Research ($0) + Ownership ($0) = $390.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($59).

Total Amount

$390

General + Research + Ownership

Payments

23

Total payment records

General Amount

$390

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2021-06-28

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
I20210628002854IInternal MedicineKYTBD

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
36415Insertion of needle into vein for collection of blood sample209115$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza6246$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing3023$0
81002Urinalysis, manual test2822$0
81003Automated urinalysis test1716$0
View full utilization report →

Insurance plans in this area (ZIP 24293)

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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: 0143139337View full group profile
NameSpecialtyState
Nurse PractitionerKY
N E U R O S U R G E R YKY
-KY
Internal MedicineKY
Orthopedic SurgeryKY
Orthopedic SurgeryIL
Nurse PractitionerKY
Nurse PractitionerKY
N E U R O L O G YKY
Orthopedic SurgeryKY

Reviews

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Frequently asked questions

Is DR. TIFFANI MARIA NICHOLS (DO) listed with a National Provider Identifier?
Yes — DR. TIFFANI MARIA NICHOLS (DO) has NPI 1760678106 on file in the registry.
Is DR. TIFFANI MARIA NICHOLS (DO) still an active registrant?
DR. TIFFANI MARIA NICHOLS (DO) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. TIFFANI MARIA NICHOLS (DO)?
At a glance, DR. TIFFANI MARIA NICHOLS (DO) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Virginia is DR. TIFFANI MARIA NICHOLS (DO) registered?
Use Wise, Virginia as the headline location for DR. TIFFANI MARIA NICHOLS (DO) here.
Does DR. TIFFANI MARIA NICHOLS (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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