Jennifer Lynn Nicholas, FNP - Medicare Nurse Practitioner in Clarkston, WA

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Jennifer Lynn Nicholas, FNP is a medicare enrolled "Nurse Practitioner" in Clarkston, Washington. Her current practice location is 1433 5th St, Clarkston, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 758-5141.

Jennifer Lynn Nicholas is licensed to practice in Washington (license number AP60299874) 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 1083978837.

Contact Information

Jennifer Lynn Nicholas, FNP
1433 5th St,
Clarkston, WA 99403-2714
(509) 758-5141
(509) 758-5299

Map and Direction




Provider's Profile

Full NameJennifer Lynn Nicholas
GenderFemale
SpecialityNurse Practitioner
Location1433 5th St, Clarkston, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083978837
  • Provider Enumeration Date: 06/26/2012
  • Last Update Date: 12/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3971759986
  • Enrollment ID: I20120807000749

Medical Identifiers

Medical identifiers for Jennifer Lynn Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083978837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP60299874 (Washington)Primary

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. Jennifer Lynn Nicholas allows following entities to bill medicare on her behalf.
Entity NameWalter L Williams
Entity TypePractitioner - Dermatology
Entity IdentifiersNPI Number: 1841269248
PECOS PAC ID: 4385610757
Enrollment ID: I20040908000156
Entity NameIntegrated Dermatology Of Clarkston Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609656222
PECOS PAC ID: 5597102335
Enrollment ID: O20240328001331

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. Jennifer Lynn Nicholas 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
Jennifer Lynn Nicholas, FNP
1433 5th St,
Clarkston, WA 99403-2714

Ph: (509) 758-5141		Jennifer Lynn Nicholas, FNP
1433 5th St,
Clarkston, WA 99403-2714

Ph: (509) 758-5141

Reviews and Comments


Nurse Practitioner Nurses in Clarkston, WA

Brandon Lane Whitlock, AG-ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1625 5th St, Clarkston, WA 99403
Phone: 509-295-8398    Fax: 509-295-8416
Laure M Larsen, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1119 Highland Ave, Clarkston, WA 99403
Phone: 509-780-4450    Fax: 509-758-3700
Jennifer Seegmiller, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1433 5th St, Clarkston, WA 99403
Phone: 509-758-5141    
Brian Francis Ciezki, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1625 5th St, Clarkston, WA 99403
Phone: 509-295-8398    Fax: 509-295-8416
Angel D Klippenstein, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 808 Port Dr, Clarkston, WA 99403
Phone: 208-298-0720    Fax: 208-298-0727
Charmaine R Allen-johnson, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 619 Diagonal St, Clarkston, WA 99403
Phone: 509-758-9003    Fax: 509-758-9001

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.