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

Crystal Jo Nichols, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Mantachie, Mississippi. She graduated from nursing school in 2010 and has 14 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 Name	Crystal Jo Nichols
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	285 Ivie Ln, Mantachie, Mississippi
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:

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.

Identifier	Type	State	Issuer
1659681328	NPI	-	NPPES
05372791	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R870294 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Tupelo, MS	Home health agency
North Mississippi Medical Ctr Hha	Tupelo, MS	Home health agency
North Mississippi Medical Center	Tupelo, MS	Hospital
North Mississippi Medical Center-gilmore Amory	Amory, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mantachie Rural Health Care, Inc	2567372121	9

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 Name	Mantachie Rural Health Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033169545 PECOS PAC ID: 2567372121 Enrollment ID: O20040921000610

Entity Name	Community Family Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

Madison Leigh Carrell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5681 Ms-363, Mantachie, MS 38855 Phone: 662-282-4226
Austin Harbor Black, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare 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
Amy Lynn Floyd, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5681 Highway 363, Mantachie, MS 38855 Phone: 662-282-4226 Fax: 662-282-7946
Joy Y Franks, CFNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 285 Ivie Ln, Mantachie, MS 38855 Phone: 662-282-4197 Fax: 662-282-5121
Leita N Stark, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5500 Highway 363, Mantachie, MS 38855 Phone: 662-282-4226

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