Lisa M Nichols, FNP in Chesterton, IN - Medicare Nurse Practitioner

Lisa M Nichols, FNP is a medicare enrolled "Nurse Practitioner - Family" in Chesterton, Indiana. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Porter-starke Services Inc and her current practice location is 407 W Indiana Ave, Chesterton, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 763-8112.

Lisa M Nichols is licensed to practice in Indiana (license number 71006113A) 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 1063872109.

Contact Information

	Lisa M Nichols, FNP
	407 W Indiana Ave, Chesterton, IN 46304-2350
	(219) 763-8112
	(219) 764-5380

Map and Direction

Provider's Profile

Full Name	Lisa M Nichols
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	407 W Indiana Ave, Chesterton, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa M Nichols graduated from nursing school in 2014

NPI Data:

NPI Number: 1063872109
Provider Enumeration Date: 03/02/2016
Last Update Date: 11/25/2020

Medicare PECOS Information:

PECOS PAC ID: 5597062273
Enrollment ID: I20200326000496

Medical Identifiers

Medical identifiers for Lisa M Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063872109	NPI	-	NPPES
201348700	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71006113A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Porter-starke Services Inc	1951293554	26

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. Lisa M Nichols allows following entities to bill medicare on her behalf.

Entity Name	Porter-starke Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098

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. Lisa M 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
Lisa M Nichols, FNP Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112	Lisa M Nichols, FNP 407 W Indiana Ave, Chesterton, IN 46304-2350 Ph: (219) 763-8112

Reviews and Comments

Nurse Practitioner Nurses in Chesterton, IN

Rhea Mae Martin, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 Plaza Drive Suite #1, Chesterton, IN 46304 Phone: 219-728-6091 Fax: 877-793-9750
Tamara Vogel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 810 Michael Dr Ste E, Chesterton, IN 46304 Phone: 219-921-2095 Fax: 219-533-4014
Mrs. Rachael E Callaway, RN, BSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 770 Indian Boundary Rd Ste 200, Chesterton, IN 46304 Phone: 219-921-2000 Fax: 219-395-8770
Shawn Michelle Kroft, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 651 W Morgan Ave Rm F168, Chesterton, IN 46304 Phone: 219-763-8112
Cheryl Brady, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 Village Point, Suite 102, Chesterton, IN 46304 Phone: 888-531-2675 Fax: 219-395-1570
Natalie Joan Eddy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Gateway Blvd N, #a, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-921-5303

Lisa M Nichols, FNP - Medicare Nurse Practitioner in Chesterton, IN