Crystal Jo Nichols, CFNP - Medicare Nurse Practitioner in Mantachie, MS

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Crystal Jo Nichols, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Mantachie, Mississippi. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mantachie Rural Health Care, Inc and her current practice location is 285 Ivie Ln, Mantachie, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 282-4197.

Crystal Jo Nichols is licensed to practice in Mississippi (license number R870294) 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 1659681328.

Contact Information

Crystal Jo Nichols, CFNP
285 Ivie Ln,
Mantachie, MS 38855-9764
(662) 282-4197
(662) 282-5121

Map and Direction




Provider's Profile

Full NameCrystal Jo Nichols
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location285 Ivie Ln, Mantachie, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Crystal Jo Nichols graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1659681328
  • Provider Enumeration Date: 10/15/2010
  • Last Update Date: 10/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3476726720
  • Enrollment ID: I20111101000573

Medical Identifiers

Medical identifiers for Crystal Jo Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659681328NPI-NPPES
05372791MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R870294 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeTupelo, MSHome health agency
North Mississippi Medical Ctr HhaTupelo, MSHome health agency
North Mississippi Medical CenterTupelo, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mantachie Rural Health Care, Inc256737212110

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. Crystal Jo Nichols allows following entities to bill medicare on her behalf.
Entity NameMantachie Rural Health Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033169545
PECOS PAC ID: 2567372121
Enrollment ID: O20040921000610
Entity NameCommunity Family Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891907093
PECOS PAC ID: 3476578196
Enrollment ID: O20051012000340

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. Crystal Jo 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 AddressPractice Location Address
Crystal Jo Nichols, CFNP
285 Ivie Ln,
Mantachie, MS 38855-9764

Ph: (662) 282-4197		Crystal Jo Nichols, CFNP
285 Ivie Ln,
Mantachie, MS 38855-9764

Ph: (662) 282-4197

Reviews and Comments


Nurse Practitioner Nurses in Mantachie, MS

Ms. Bonnie Renee' Jones, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 285 Ivie Ln, Mantachie, MS 38855
Phone: 662-282-4197    Fax: 662-282-5121
Madison Leigh Carrell, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 5681 Ms-363, Mantachie, MS 38855
Phone: 662-282-4226    
Austin Harbor Black, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5681 Highway 363, Mantachie, MS 38855
Phone: 662-282-4226    
Susan Long Newell,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3275 Highway 371 N, Mantachie, MS 38855
Phone: 662-282-7555    
Nativel J Collins, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3275 Highway 371 N, Mantachie, MS 38855
Phone: 662-282-7555    Fax: 877-254-0552
Cynthia Smith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5681 Highway 363, Mantachie, MS 38855
Phone: 662-282-4226    Fax: 662-282-7946

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.