Mrs Leila Keel Nichols, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Jackson, Tennessee. Her current practice location is
2863 Highway 45 Byp, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 660-8300.
Mrs Leila Keel Nichols is licensed to practice in Tennessee (license number 14288) 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 1104159904.
Physician's Profile
Full Name | Mrs Leila Keel Nichols |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2863 Highway 45 Byp, Jackson, Tennessee |
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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:
- Mrs Leila Keel Nichols attended and graduated from in
NPI Data:
- NPI Number: 1104159904
- Provider Enumeration Date: 09/10/2009
- Last Update Date: 05/16/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Leila Keel Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104159904 | NPI | - | NPPES |
3380640 | Other | TN | MEDICARE GROUP |
3380640 | Other | TN | MEDICAID GROUP |
1525515 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 13090 (Tennessee) | Secondary |
367A00000X | Advanced Practice Midwife | APN14288 (Tennessee) | Secondary |
367A00000X | Advanced Practice Midwife | APRN90339MIDWIFE (West Virginia) | Secondary |
367A00000X | Advanced Practice Midwife | 14288 (Tennessee) | Primary |
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. Mrs Leila Keel Nichols 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 |
Mrs Leila Keel Nichols, CNM Po Box 400, Jackson, TN 38302-0400 Ph: (731) 422-0213 | Mrs Leila Keel Nichols, CNM 2863 Highway 45 Byp, Jackson, TN 38305-3618 Ph: (731) 660-8300 |
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