Kimberly C Nichols, NP - Medicare Nurse Practitioner in Bristol, TN

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Kimberly C Nichols, NP is a medicare enrolled "Nurse Practitioner" in Bristol, Tennessee. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wps Providers Inc, Wps Providers Inc, Wellmont Medical Associates Inc and her current practice location is 1 Medical Park Blvd, Bristol, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 844-5583.

Kimberly C Nichols is licensed to practice in Virginia (license number 0024169691) 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 1619251626.

Contact Information

Kimberly C Nichols, NP
1 Medical Park Blvd,
Bristol, TN 37620-7430
(423) 844-5583
(423) 844-5588

Map and Direction




Provider's Profile

Full NameKimberly C Nichols
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location1 Medical Park Blvd, Bristol, Tennessee
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:
  • Kimberly C Nichols graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1619251626
  • Provider Enumeration Date: 10/10/2011
  • Last Update Date: 01/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0749447753
  • Enrollment ID: I20120202000585

Medical Identifiers

Medical identifiers for Kimberly C Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619251626NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 0024169691 (Virginia)Primary
363L00000XNurse Practitioner 16361 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont Bristol Regional Medical CenterBristol, TNHospital
Lonesome Pine HospitalBig stone gap, VAHospital
Johnston Memorial HospitalAbingdon, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wps Providers Inc771907953267
Wps Providers Inc771907953267
Wellmont Medical Associates Inc8123291739426

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. Kimberly C Nichols allows following entities to bill medicare on her behalf.
Entity NameWps Providers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003904095
PECOS PAC ID: 7719079532
Enrollment ID: O20070824000581
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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. Kimberly C 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
Kimberly C Nichols, NP
999 Executive Park Blvd, Suite 201,
Kingsport, TN 37660-4632

Ph: (423) 224-3250		Kimberly C Nichols, NP
1 Medical Park Blvd,
Bristol, TN 37620-7430

Ph: (423) 844-5583

Reviews and Comments


Nurse Practitioner Nurses in Bristol, TN

Mrs. Kelly Carter Simcox, FNP-BC
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Practice Location: 212 Midway Medical Park, Bristol, TN 37620
Phone: 423-844-6515    Fax: 423-652-2590
Mrs. Theresa M Kalb, N.P.
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Medicare: Not Enrolled in Medicare
Practice Location: 527 Redstone Dr Unit 21, Bristol, TN 37620
Phone: 607-351-1793    
Kimi Kay Guffey, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2137 Volunteer Pkwy Ste 5, Bristol, TN 37620
Phone: 423-722-5000    Fax: 423-722-5130
Laura Ann Eller, AGACNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2298 Highway 126, Bristol, TN 37620
Phone: 307-371-1381    
Shellie Rose Butler, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2137 Volunteer Parkway, Suite 5, Bristol, TN 37620
Phone: 423-722-5000    Fax: 423-722-5130
Mrs. Jo Anne Roe Viers, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd, Suite 458-w, Bristol, TN 37620
Phone: 423-844-4975    Fax: 423-844-4987
Mikayla B Duncan,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 271 Medical Park Blvd, Bristol, TN 37620
Phone: 423-274-8600    Fax: 423-390-6845

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.