MRS. JUDY R MACNICHOLS (P.A.-C) – Medical Physician Assistant, NPI 1407858004

MRS. JUDY R MACNICHOLS (P.A.-C) is a healthcare provider. based in Deland, Florida. specializing in Medical Physician Assistant. They hold the professional credentials P.A.-C. They hold a License No. PA3264 (FL). The NPI Number for MRS. JUDY R MACNICHOLS (P.A.-C) is 1407858004

Main info

Female
Name
MRS. JUDY R MACNICHOLS (P.A.-C)
NPI
1407858004
Phone
(386) 943-7100
Address
1070 N STONE ST
Enumeration Date
12 August 2005
Last Update Date
19 February 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. JUDY R MACNICHOLS (P.A.-C)

  • 1070, North Stone Street, DeLand, Volusia County, Florida, 32720, United States

    SUITE A

    DELAND, FL 327200919

    Phone: (386) 943-7100

    Fax: (386) 943-8909

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 32720)

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Reviews

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Frequently asked questions

How is MRS. JUDY R MACNICHOLS (P.A.-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. JUDY R MACNICHOLS (P.A.-C) with NPI 1407858004.
Is MRS. JUDY R MACNICHOLS (P.A.-C) still practicing?
MRS. JUDY R MACNICHOLS (P.A.-C) is currently listed as active in the public NPI registry.
What taxonomy line describes MRS. JUDY R MACNICHOLS (P.A.-C)?
For research purposes, treat MRS. JUDY R MACNICHOLS (P.A.-C) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does MRS. JUDY R MACNICHOLS (P.A.-C) list a practice location?
Patients near Deland, Florida may find MRS. JUDY R MACNICHOLS (P.A.-C) in results; validate coverage separately.
Is the information about MRS. JUDY R MACNICHOLS (P.A.-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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