Jacquelyn Olivia Nickel, RD, MS in Tulsa, OK - Medicare Registered Dietitian Or Nutrition Professional Provider

Jacquelyn Olivia Nickel, RD, MS is a medicare enrolled "Dietitian, Registered" provider in Tulsa, Oklahoma. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Indian Health Care Resource Center and her current practice location is 550 S Peoria Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 588-1900.

Jacquelyn Olivia Nickel is licensed to practice in Oklahoma (license number 86018539) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992165674.

Contact Information

	Jacquelyn Olivia Nickel, RD, MS
	550 S Peoria Ave, Tulsa, OK 74120-3820
	(918) 588-1900
	(918) 582-6405

Map and Direction

Healthcare Provider's Profile

Full Name	Jacquelyn Olivia Nickel
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	9 Years
Location	550 S Peoria Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacquelyn Olivia Nickel graduated from medical school in 2015

NPI Data:

NPI Number: 1992165674
Provider Enumeration Date: 02/24/2016
Last Update Date: 02/24/2016

Medicare PECOS Information:

PECOS PAC ID: 8820395031
Enrollment ID: I20240131001559

Medical Identifiers

Medical identifiers for Jacquelyn Olivia Nickel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992165674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86018539 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indian Health Care Resource Center	0042117590	18

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacquelyn Olivia Nickel allows following entities to bill medicare on her behalf.

Provider Name	Nourish, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Olivia Nickel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacquelyn Olivia Nickel, RD, MS 550 S Peoria Ave, Tulsa, OK 74120-3820 Ph: (918) 588-1900	Jacquelyn Olivia Nickel, RD, MS 550 S Peoria Ave, Tulsa, OK 74120-3820 Ph: (918) 588-1900

Reviews and Comments

Dietitian, Registered in Tulsa, OK

Mrs. Deanna Gum, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 W 3rd St, Suite 800, Tulsa, OK 74103 Phone: 918-585-3045 Fax: 918-585-3047
Brittany Bennett, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-579-1000
Mrs. Kristin Lynne Gibson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-7201
Hillcrest Hospital South Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8801 S 101st East Ave, Tulsa, OK 74133 Phone: 918-294-4000 Fax: 918-294-4818
Amanda Kaylene Humphreys, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 115 W 3rd St, Tulsa, OK 74103 Phone: 918-585-3045
Christie Anne Huffman, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2815 S Sheridan Rd, Tulsa, OK 74129 Phone: 918-619-4300 Fax: 918-619-4322
Mrs. Melissa L Davis-whitenack, M.S., R.D.,L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5870 S. 76th East Avenue, Tulsa, OK 74145 Phone: 918-622-9099

Jacquelyn Olivia Nickel, RD, MS - Medicare Dietitian in Tulsa, OK