Mrs Leila Keel Nichols, CNM - Medicare Certified Nurse Midwife (cnm) in Jackson, TN

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Mrs Leila Keel Nichols, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Jackson, Tennessee. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Jackson Clinic Pa and 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.

Contact Information

Mrs Leila Keel Nichols, CNM
2863 Highway 45 Byp,
Jackson, TN 38305-3618
(731) 660-8300
(731) 660-8301

Map and Direction




Physician's Profile

Full NameMrs Leila Keel Nichols
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience16 Years
Location2863 Highway 45 Byp, Jackson, Tennessee
Accepts Medicare AssignmentsYes. 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 graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1104159904
  • Provider Enumeration Date: 09/10/2009
  • Last Update Date: 05/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345412748
  • Enrollment ID: I20111006000768

Medical Identifiers

Medical identifiers for Mrs Leila Keel Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104159904NPI-NPPES
3380640OtherTNMEDICARE GROUP
3380640OtherTNMEDICAID GROUP
1525515MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 13090 (Tennessee)Secondary
367A00000XAdvanced Practice Midwife APN14288 (Tennessee)Secondary
367A00000XAdvanced Practice Midwife APRN90339MIDWIFE (West Virginia)Secondary
367A00000XAdvanced Practice Midwife 14288 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jackson Clinic Pa2668376872179

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. Mrs Leila Keel Nichols allows following entities to bill medicare on her behalf.
Entity NameJackson Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285629386
PECOS PAC ID: 2668376872
Enrollment ID: O20040318000962
Entity NameObhg Tennessee, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285924977
PECOS PAC ID: 1850566514
Enrollment ID: O20111207000456
Entity NameWt University Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023572344
PECOS PAC ID: 3779824719
Enrollment ID: O20190401001719

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 AddressPractice 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

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.