Colleen Diane Nichols, CPNP-PC - Medicare Nurse Practitioner in Saint Louis, MO

Colleen Diane Nichols, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Saint Louis, Missouri. Her current practice location is 1465 S Grand Blvd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 577-5666.

Colleen Diane Nichols is licensed to practice in Missouri (license number 2020006145) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952935405.

Contact Information

Colleen Diane Nichols, CPNP-PC
1465 S Grand Blvd,
Saint Louis, MO 63104-1003
(314) 577-5666
Not Available

Map and Direction




Provider's Profile

Full NameColleen Diane Nichols
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1465 S Grand Blvd, Saint Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952935405
  • Provider Enumeration Date: 02/24/2020
  • Last Update Date: 11/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7618308925
  • Enrollment ID: I20220119000798

Medical Identifiers

Medical identifiers for Colleen Diane Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952935405NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 2020006145 (Missouri)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. Colleen Diane 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
Colleen Diane Nichols, CPNP-PC
1554 Heritage Valley Dr,
High Ridge, MO 63049-1169

Ph: (314) 941-9284
Colleen Diane Nichols, CPNP-PC
1465 S Grand Blvd,
Saint Louis, MO 63104-1003

Ph: (314) 577-5666

Reviews and Comments


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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.

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