Misty Renee Nichols, FNP-BC in Maryville, TN - Medicare Nurse Practitioner

Misty Renee Nichols, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Maryville, Tennessee. Her current practice location is 1111 E Lamar Alexander Pkwy, Maryville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 724-0867.

Misty Renee Nichols is licensed to practice in Tennessee (license number 32623) 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 1083339444.

Contact Information

	Misty Renee Nichols, FNP-BC
	1111 E Lamar Alexander Pkwy, Maryville, TN 37804-5130
	(865) 724-0867
	Not Available

Map and Direction

Provider's Profile

Full Name	Misty Renee Nichols
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1111 E Lamar Alexander Pkwy, Maryville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083339444
Provider Enumeration Date: 10/07/2022
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 0547628661
Enrollment ID: I20230622001514

Medical Identifiers

Medical identifiers for Misty Renee Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083339444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	32623 (Tennessee)	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. Misty Renee Nichols allows following entities to bill medicare on her behalf.

Entity Name	Alliance Pain Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518631548 PECOS PAC ID: 2567859663 Enrollment ID: O20220420000002

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. Misty Renee 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 Address	Practice Location Address
Misty Renee Nichols, FNP-BC 1111 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 Ph: (865) 816-3270	Misty Renee Nichols, FNP-BC 1111 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 Ph: (865) 724-0867

Reviews and Comments

Nurse Practitioner Nurses in Maryville, TN

Mrs. Kellie R. Gaby, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-238-6430 Fax: 865-238-6444
Mrs. Olga Maria Gardner, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722
Christina Marie Valentin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4796
Dalya Tobea Frank, APN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722
Harley Gibbs, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 Parliament Dr Ste A, Maryville, TN 37804 Phone: 561-716-6894
Samantha Pendergrass, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5795
Alyssa R. Atchley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1012 Jamestown Way, Maryville, TN 37803 Phone: 865-246-2104 Fax: 865-246-2106

Misty Renee Nichols, FNP-BC - Medicare Nurse Practitioner in Maryville, TN