DENNIS DARREL NICHOLS (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1245205848

DENNIS DARREL NICHOLS (M.D.) is a healthcare provider. based in Spokane, Washington. specializing in CARDIAC SURGERY, THORACIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MD00033460 (WA). The NPI Number for DENNIS DARREL NICHOLS (M.D.) is 1245205848

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DENNIS DARREL NICHOLS (M.D.)
NPI
1245205848
Phone
(509) 456-0262
Address
62 W 7th Ave
Enumeration Date
17 February 2006
Last Update Date
22 June 2021

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
9537056775
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20040302000690
Address ID
WA983351706GI4700XDRXX400

Contacts

Secure Messaging
dnichols352955@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

53 CARDIAC SURGERY in WA

Provider Addresses for DENNIS DARREL NICHOLS (M.D.)

  • 62 W 7th Ave

    Spokane, WA 992042321

    Phone: (509) 456-0262

    Fax: (509) 625-1868

    Type: Location

  • 314, Martin Luther King Jr Way, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States

    #202

    TACOMA, WA 984054250

    Phone: (253) 403-7257

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $330.

Total Amount is formed as General ($330) + Research ($0) + Ownership ($0) = $330.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Solventum Corporation ($88).

Total Amount

$330

General + Research + Ownership

Payments

10

Total payment records

General Amount

$330

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

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: 2004-03-02

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
I20040302000690ICardiac SurgeryWATBD

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 99204)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

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Frequently asked questions

Does DENNIS DARREL NICHOLS (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DENNIS DARREL NICHOLS (M.D.) uses 1245205848.
Does CMS list DENNIS DARREL NICHOLS (M.D.) as active?
Yes — DENNIS DARREL NICHOLS (M.D.) is active in the NPI listing used on this page.
What is DENNIS DARREL NICHOLS (M.D.)'s primary classification?
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is the headline specialty for DENNIS DARREL NICHOLS (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DENNIS DARREL NICHOLS (M.D.)?
DENNIS DARREL NICHOLS (M.D.)'s geographic hint is Spokane, Washington in our summary view.
Why does DENNIS DARREL NICHOLS (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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