DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,) – Nurse Practitioner, NPI 1770749202

DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,) is a healthcare provider. based in Virginia beach, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials PHD, APRN, PMHNP-BC,. They hold a License No. 0024171054 (VA). The NPI Number for DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,) is 1770749202

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,)
NPI
1770749202
Phone
(757) 251-0879
Address
4360 SHORE DR STE 101
Enumeration Date
4 August 2008
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7572510879
Graduation Year
2015 (11 years ago)
PAC ID
0547304412
Group Practice PAC ID
7113329517
Professional Enrollment ID
I20200330002712
Address ID
VA234552994VI4360XDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience94
Completeness85
Years active:17State licenses:8Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,)

  • 4360 SHORE DR STE 101

    VIRGINIA BEACH, VA 234552994

    Phone: (757) 251-0879

    Fax: (984) 220-9437

    Type: Location

  • 8488, Wolf Valley Lane, Bartlett, Shelby County, Tennessee, 38133, United States

    BARTLETT, TN 381332883

    Phone: (850) 509-9131

    Type: Mailing

  • 857 E PARK AVE

    TALLAHASSEE, FL 323012620

    Phone: (757) 251-0879

    Fax: (984) 220-9437

    Type: Location

  • 1611 E Joy Ln Ste 1

    Fort Mohave, AZ 864268807

    Phone: (757) 251-0879

    Fax: (984) 220-9437

    Type: Location

  • 1700 PLEASURE HOUSE RD STE 102A

    VIRGINIA BEACH, VA 234554062

    Phone: (757) 251-0879

    Fax: (984) 220-9437

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 111 Open Payments records for all available years, with a total value of $2,511.

Total Amount is formed as General ($2,511) + Research ($0) + Ownership ($0) = $2,511.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($830).

Total Amount

$2,511

General + Research + Ownership

Payments

111

Total payment records

General Amount

$2,511

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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: 2020-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20100216000148INurse PractitionerFLTBD
I20161229000608INurse PractitionerTNTBD
I20171106003241INurse PractitionerAZTBD
I20190826001851INurse PractitionerNCTBD
I20200330002712INurse PractitionerVATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8633$0
99213Established patient office or other outpatient visit, 20-29 minutes8018$0
99214Established patient office or other outpatient visit, 30-39 minutes4414$0
90833Psychotherapy with evaluation and management visit, 30 minutes3917$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3521$0
View full utilization report →

Insurance plans in this area (ZIP 23455)

Loading plans...

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: 7113329517View full group profile
NameSpecialtyState
Nurse PractitionerVA
Marriage And Family TherapistAZ
Nurse PractitionerAR
Physician AssistantPA
Nurse PractitionerFL
Nurse PractitionerNC

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,)?
For DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,), use NPI 1770749202 as the unique 10-digit identifier.
Active or inactive — what applies to DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,)?
You should see DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,) as active in CMS-hosted NPPES data.
What kind of doctor is DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,)?
DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,) located near Virginia Beach?
DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,) currently maps to Virginia Beach, Virginia in this extract.
When was this NPI issued?
Enumeration for DR. SANDRA W NICHOLS (PHD, APRN, PMHNP-BC,) is noted as August 4, 2008 where the registry provides it.