Jill Nicholas, NP-C - Medicare Nurse Practitioner in Hattiesburg, MS

Jill Nicholas, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Hattiesburg, Mississippi. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Magee Benevolent Association, Simpson Community Healthcare, Inc. and her current practice location is 5003 Hardy St, Hattiesburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 296-3530.

Jill Nicholas is licensed to practice in Mississippi (license number R881571) 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 1295288033.

Contact Information

Jill Nicholas, NP-C
5003 Hardy St,
Hattiesburg, MS 39402-1319
(601) 296-3530
Not Available

Map and Direction




Provider's Profile

Full NameJill Nicholas
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location5003 Hardy St, Hattiesburg, Mississippi
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:
  • Jill Nicholas graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1295288033
  • Provider Enumeration Date: 07/28/2016
  • Last Update Date: 04/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3678994449
  • Enrollment ID: I20200603000530

Medical Identifiers

Medical identifiers for Jill Nicholas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295288033NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R881571 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Magee General HospitalMagee, MSHospital
Simpson General Hospital CahMendenhall, MSHospital
Covington County Hospital CahCollins, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Magee Benevolent Association36784664638
Simpson Community Healthcare, Inc.599170975010

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. Jill Nicholas allows following entities to bill medicare on her behalf.
Entity NameMagee Benevolent Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225157258
PECOS PAC ID: 3678466463
Enrollment ID: O20040205000400
Entity NameSouth Central Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801226287
PECOS PAC ID: 4385876655
Enrollment ID: O20140515000834

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. Jill 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
Jill Nicholas, NP-C
391 Sandhill Rd,
Ellisville, MS 39437-8423

Ph: (601) 325-4765
Jill Nicholas, NP-C
5003 Hardy St,
Hattiesburg, MS 39402-1319

Ph: (601) 296-3530

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.

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.