Mrs Katie Nicholson, APRN in Malvern, AR - Medicare Nurse Practitioner

Mrs Katie Nicholson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Malvern, Arkansas. Her current practice location is 1308 E Page Ave, Malvern, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 337-9820.

Mrs Katie Nicholson is licensed to practice in Florida (license number APRN11027976) 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 1508648635.

Contact Information

	Mrs Katie Nicholson, APRN
	1308 E Page Ave, Malvern, AR 72104-4518
	(501) 337-9820
	(501) 468-0478

Map and Direction

Provider's Profile

Full Name	Mrs Katie Nicholson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1308 E Page Ave, Malvern, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508648635
Provider Enumeration Date: 10/13/2023
Last Update Date: 06/07/2024

Medicare PECOS Information:

PECOS PAC ID: 9133661945
Enrollment ID: I20240607003035

Medical Identifiers

Medical identifiers for Mrs Katie Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508648635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11027976 (Florida)	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 Katie Nicholson allows following entities to bill medicare on her behalf.

Entity Name	Access Medical Clinic Arkansas Ltc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114578929 PECOS PAC ID: 0547618175 Enrollment ID: O20231208000065

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 Katie Nicholson 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 Katie Nicholson, APRN 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () -	Mrs Katie Nicholson, APRN 1308 E Page Ave, Malvern, AR 72104-4518 Ph: (501) 337-9820

Reviews and Comments

Nurse Practitioner Nurses in Malvern, AR

Kendra Roberts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Walco Ln, Malvern, AR 72104 Phone: 501-467-3400
Mona Renea Simms, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Henry St, Malvern, AR 72104 Phone: 501-332-5245
Bethany Cox, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400
Mrs. Rachel Scrimshire, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1604 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-732-5400 Fax: 501-325-9650
Brittany Camille Flynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1517 S Main St, Malvern, AR 72104 Phone: 501-332-7525 Fax: 501-467-3071
John Mark Bates, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Schneider Dr Ste 104, Malvern, AR 72104 Phone: 501-337-9994
Briana Lee Newcomb, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1003 Schneider Dr, Malvern, AR 72104 Phone: 888-710-8220 Fax: 866-573-0761

Mrs Katie Nicholson, APRN - Medicare Nurse Practitioner in Malvern, AR