Kelly Ann Nichols, NP - Medicare Nurse Practitioner in Hillsboro, MO

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Kelly Ann Nichols, NP is a medicare enrolled "Nurse Practitioner - Family" in Hillsboro, Missouri. Her current practice location is 4 Hickory Ridge Rd Ste 600, Hillsboro, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 481-6040.

Kelly Ann Nichols is licensed to practice in Missouri (license number 2019038073) 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 1245889005.

Contact Information

Kelly Ann Nichols, NP
4 Hickory Ridge Rd Ste 600,
Hillsboro, MO 63050-5117
(636) 481-6040
Not Available

Map and Direction




Provider's Profile

Full NameKelly Ann Nichols
GenderFemale
SpecialityNurse Practitioner - Family
Location4 Hickory Ridge Rd Ste 600, Hillsboro, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245889005
  • Provider Enumeration Date: 09/04/2019
  • Last Update Date: 09/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6002241403
  • Enrollment ID: I20230217001384

Medical Identifiers

Medical identifiers for Kelly Ann Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245889005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2005023391 (Missouri)Secondary
163W00000XRegistered Nurse 041459011 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 2019038073 (Missouri)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. Kelly Ann Nichols allows following entities to bill medicare on her behalf.
Entity NameCommunity Treatment Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598781189
PECOS PAC ID: 0749171585
Enrollment ID: O20040325000428
Entity NameCompass Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285619494
PECOS PAC ID: 1951206754
Enrollment ID: O20040408000955

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. Kelly Ann 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
Kelly Ann Nichols, NP
3820 Country Club Dr,
Imperial, MO 63052-3623

Ph: (314) 703-3115		Kelly Ann Nichols, NP
4 Hickory Ridge Rd Ste 600,
Hillsboro, MO 63050-5117

Ph: (636) 481-6040

Reviews and Comments


Nurse Practitioner Nurses in Hillsboro, MO

Miriam D. Butler, NP-C, APRN-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 405 Main St, Hillsboro, MO 63050
Phone: 636-797-8045    
Mrs. Katherine Leigh Wagner, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 405 Main St, Hillsboro, MO 63050
Phone: 636-797-3737    Fax: 636-481-2100
Aida Trivic, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 802 Mel Carnahan Dr, Apt 2015, Hillsboro, MO 63050
Phone: 636-543-2290    Fax: 636-789-2523
Amanda Kay Barkema, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050
Phone: 636-931-2700    
Sydnie Markowski, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4 Hickory Ridge Rd Ste 600, Hillsboro, MO 63050
Phone: 844-853-8937    
Kelly Renee Moore, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 130 Andor Ln, Hillsboro, MO 63050
Phone: 314-520-1227    
Mrs. Leah Dobrynski, FNP-C, MSN, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10738 Business 21, Hillsboro, MO 63050
Phone: 636-543-2328    Fax: 636-543-2334

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.