Mrs Brandie Nicole Nichols, FNP - Medicare Nurse Practitioner in Kingsport, TN

Mrs Brandie Nicole Nichols, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kingsport, Tennessee. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holston Medical Group Pc and her current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 224-3628.

Mrs Brandie Nicole Nichols is licensed to practice in Tennessee (license number 22754) 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 1285164483.

Contact Information

Mrs Brandie Nicole Nichols, FNP
130 W Ravine Rd,
Kingsport, TN 37660-3837
(423) 224-3628
(423) 230-8502

Map and Direction




Provider's Profile

Full NameMrs Brandie Nicole Nichols
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location130 W Ravine Rd, Kingsport, 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:
  • Mrs Brandie Nicole Nichols graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1285164483
  • Provider Enumeration Date: 06/20/2017
  • Last Update Date: 12/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1153693635
  • Enrollment ID: I20170817002612

Medical Identifiers

Medical identifiers for Mrs Brandie Nicole Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285164483NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 178442 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 22754 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holston Medical Group Pc8224935754227

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. Mrs Brandie Nicole Nichols allows following entities to bill medicare on her behalf.
Entity NameHolston Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831110667
PECOS PAC ID: 8224935754
Enrollment ID: O20031216000416
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. Mrs Brandie Nicole 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
Mrs Brandie Nicole Nichols, FNP
105 W Stone Dr Ste 6a,
Kingsport, TN 37660-3256

Ph: (423) 408-7220
Mrs Brandie Nicole Nichols, FNP
130 W Ravine Rd,
Kingsport, TN 37660-3837

Ph: (423) 224-3628

Reviews and Comments


Nurse Practitioner Nurses in Kingsport, TN

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Sherry Lynn Goode, NP
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Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-3628    Fax: 423-224-3629
Amanda M Malone, MSN, FNP-BC
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Mrs. Amanda Susan Burns, ARNP
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Phone: --    
Mary Renee Mcnees, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 2300 Pavilion Drive, Kingsport, TN 37660
Phone: 423-765-9655    Fax: 423-979-6333

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.