Shannon Marie Nichols, CRNP in Muscle Shoals, AL

Shannon Marie Nichols, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Muscle Shoals, Alabama. Her current practice location is 201 Avalon Ave, Muscle Shoals, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 386-1240.

Shannon Marie Nichols is licensed to practice in Alabama (license number 1-156516) 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 1659950848.

Contact Information

	Shannon Marie Nichols, CRNP
	201 Avalon Ave, Muscle Shoals, AL 35661-2805
	(256) 386-1240
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Marie Nichols
Gender	Female
Speciality	Nurse Practitioner - Family
Location	201 Avalon Ave, Muscle Shoals, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659950848
Provider Enumeration Date: 04/05/2021
Last Update Date: 05/14/2021

Medicare PECOS Information:

PECOS PAC ID: 3971990540
Enrollment ID: I20220428002572

Medical Identifiers

Medical identifiers for Shannon Marie Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659950848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	1-156516 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	1-156516 (Alabama)	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. Shannon Marie Nichols allows following entities to bill medicare on her behalf.

Entity Name	River Region Psychiatry Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386891497 PECOS PAC ID: 1254491012 Enrollment ID: O20081124000448

Entity Name	Russellville Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761

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. Shannon Marie 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
Shannon Marie Nichols, CRNP 216 Cypress Mill Rd, Florence, AL 35630-2106 Ph: (256) 856-3541	Shannon Marie Nichols, CRNP 201 Avalon Ave, Muscle Shoals, AL 35661-2805 Ph: (256) 386-1240

Reviews and Comments

Nurse Practitioner Nurses in Muscle Shoals, AL

Kristy Miles, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 108 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-389-9300
Mr. Thaddeus Jason Boughton, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 E 6th Street Suite E, Muscle Shoals, AL 35661 Phone: 256-314-2431 Fax: 256-314-2435
Mrs. Melissa Anne Aycock, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104a Physicians Dr, Muscle Shoals, AL 35661 Phone: 256-383-6070 Fax: 256-381-4022
Jessica Byrd, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 716 State St, Muscle Shoals, AL 35661 Phone: 256-381-6963 Fax: 256-826-0303
Laura Geneva Gilmer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-826-1001 Fax: 256-978-5118
Elizabeth Anne Raper, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Avalon Ave, Suite B, Muscle Shoals, AL 35661 Phone: 256-386-0809 Fax: 256-383-8000
Stacy Davis, ANCC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 503 W State St, Muscle Shoals, AL 35661 Phone: 256-978-4441

Shannon Marie Nichols, CRNP - Medicare Nurse Practitioner in Muscle Shoals, AL