| Courtney R Nichols, NP-C | |
|
1611 S Baltimore St Ste A, Kirksville, MO 63501-4519 | |
| (660) 665-7575 | |
| (660) 665-7576 |
| Full Name | Courtney R Nichols |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1611 S Baltimore St Ste A, Kirksville, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235645151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2007025283 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2017042162 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Regional Medical Center | Kirksville, MO | Hospital |
| Hannibal Regional Hospital | Hannibal, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hannibal Regional Healthcare System Inc | 1254236300 | 227 |
| Entity Name | Hannibal Regional Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134311392 PECOS PAC ID: 1254236300 Enrollment ID: O20071004000422 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney R Nichols, NP-C Po Box 1239, Hannibal, MO 63401-1239 Ph: (660) 665-7575 | Courtney R Nichols, NP-C 1611 S Baltimore St Ste A, Kirksville, MO 63501-4519 Ph: (660) 665-7575 |
Amanda Sevits, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1611 S Baltimore St, Kirksville, MO 63501 Phone: 660-665-7575 | |
Brooke April Sprague, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 S Baltimore St, Kirksville, MO 63501 Phone: 660-665-7575 Fax: 660-665-7576 | |
Rachel Catherine Selby, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 W Jefferson St, Kirksville, MO 63501 Phone: 660-956-4392 | |
Whitney Jean Roller, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 S Baltimore St, Kirksville, MO 63501 Phone: 660-665-7575 | |
Kathy Ayers, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 W Jefferson St, Kirksville, MO 63501 Phone: 662-626-2235 Fax: 660-626-2090 | |
Teresa Lyn Tucker, RN, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 E Normal Ave, Kirksville, MO 63501 Phone: 660-785-4182 | |
Cassie Marie Tilton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1506 Crown Dr, Kirksville, MO 63501 Phone: 660-627-4493 |