Mrs Jill Nichols, APRN, WHNP-BC in Maumee, OH

Mrs Jill Nichols, APRN, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Maumee, Ohio. Her current practice location is 6005 Monclova Rd Ste 320, Maumee, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 893-7134.

Mrs Jill Nichols is licensed to practice in Ohio (license number APRN.CNP.0031559) 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 1417688144.

Contact Information

	Mrs Jill Nichols, APRN, WHNP-BC
	6005 Monclova Rd Ste 320, Maumee, OH 43537-1862
	(419) 893-7134
	(419) 893-6942

Map and Direction

Provider's Profile

Full Name	Mrs Jill Nichols
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	6005 Monclova Rd Ste 320, Maumee, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417688144
Provider Enumeration Date: 06/22/2022
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 9032592720
Enrollment ID: I20220812001338

Medical Identifiers

Medical identifiers for Mrs Jill Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417688144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	LE-00041839 (Ohio)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	APRN.CNP.0031559 (Ohio)	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. Mrs Jill Nichols allows following entities to bill medicare on her behalf.

Entity Name	Dr James M Croak Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487713400 PECOS PAC ID: 8527044460 Enrollment ID: O20040629001440

Entity Name	Mercy Health Physicians North Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534

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 Jill 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
Mrs Jill Nichols, APRN, WHNP-BC 6005 Monclova Rd Ste 320, Maumee, OH 43537-1862 Ph: () -	Mrs Jill Nichols, APRN, WHNP-BC 6005 Monclova Rd Ste 320, Maumee, OH 43537-1862 Ph: (419) 893-7134

Reviews and Comments

Nurse Practitioner Nurses in Maumee, OH

Mrs. Rachel Lee Pfaff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1661 Holland Rd Ste 100, Maumee, OH 43537 Phone: 419-794-1105
Megan Palmer, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5757 Monclova Rd, Suite 10, Maumee, OH 43537 Phone: 419-887-0803
Timothy W Haupricht, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1715 Indian Wood Cir Ste 266&265, Maumee, OH 43537 Phone: 419-578-8594 Fax: 855-618-2622
Tracey Begley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Monclova Rd Ste 320, Maumee, OH 43537 Phone: 419-893-7134 Fax: 419-893-6942
Cassandra June Kaiser-barrow, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6450 Wheatstone Ct, Maumee, OH 43537 Phone: 419-866-6200
Heather Cole, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1655 Holland Rd Ste F, Maumee, OH 43537 Phone: 513-834-7063 Fax: 513-873-1567
Kevin Creedon, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5705 Monclova Rd Ste 201, Maumee, OH 43537 Phone: 419-794-7700 Fax: 419-794-7715

Mrs Jill Nichols, APRN, WHNP-BC - Medicare Nurse Practitioner in Maumee, OH