Kenzie Ann Nichols, is a medicare enrolled "Physician Assistant" in Pine Bluffs, Wyoming. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cheyenne Regional Physicians Group Llc and her current practice location is
830 Sanders Dr, Pine Bluffs, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 575-7835.
Kenzie Ann Nichols is licensed to practice in * (Not Available) (license number ) 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 1417642687.
Provider's Profile
| Full Name | Kenzie Ann Nichols |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 830 Sanders Dr, Pine Bluffs, Wyoming |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenzie Ann Nichols graduated from nursing school in 2023
NPI Data:
- NPI Number: 1417642687
- Provider Enumeration Date: 04/05/2023
- Last Update Date: 10/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719320464
- Enrollment ID: I20240209000034
Medical Identifiers
Medical identifiers for Kenzie Ann Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417642687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cheyenne Regional Physicians Group Llc | 2961403639 | 92 |
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. Kenzie Ann 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 |
|---|
Kenzie Ann Nichols,
830 Sanders Dr,
Pine Bluffs, WY 82082-9755
Ph: (307) 575-7835 | Kenzie Ann Nichols,
830 Sanders Dr,
Pine Bluffs, WY 82082-9755
Ph: (307) 575-7835 |
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