Judith Lynn Nichols, APRN - Medicare Nurse Practitioner in St Augustine, FL

Judith Lynn Nichols, APRN is a medicare enrolled "Nurse Practitioner" in St Augustine, Florida. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Augustine Primary Care P L and her current practice location is 105 Mariner Way, Ste 203, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 342-2989.

Judith Lynn Nichols is licensed to practice in Florida (license number APRN978502) 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 1255311528.

Contact Information

Judith Lynn Nichols, APRN
105 Mariner Way, Ste 203,
St Augustine, FL 32086
(904) 342-2989
(904) 824-6243

Map and Direction




Provider's Profile

Full NameJudith Lynn Nichols
GenderFemale
SpecialityNurse Practitioner
Experience28 Years
Location105 Mariner Way, St Augustine, Florida
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:
  • Judith Lynn Nichols graduated from nursing school in 1996
  NPI Data:
  • NPI Number: 1255311528
  • Provider Enumeration Date: 01/20/2006
  • Last Update Date: 05/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012979008
  • Enrollment ID: I20041102000317

Medical Identifiers

Medical identifiers for Judith Lynn Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255311528NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN978502 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Flagler HospitalSaint augustine, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Augustine Primary Care P L68009605922

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. Judith Lynn Nichols allows following entities to bill medicare on her behalf.
Entity NameSt Augustine Primary Care P L
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760654370
PECOS PAC ID: 6800960592
Enrollment ID: O20080729000470

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. Judith Lynn 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
Judith Lynn Nichols, APRN
Po Box 3123,
St Augustine, FL 32085-3123

Ph: () -
Judith Lynn Nichols, APRN
105 Mariner Way, Ste 203,
St Augustine, FL 32086

Ph: (904) 342-2989

Reviews and Comments


Nurse Practitioner Nurses in St Augustine, FL

Mrs. Yvonne Payne, ARNP, FNP-BC
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Phone: 352-620-4630    

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.