Edward Clay Nichols, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APO5939 Issued in LA

Practice address

3326 Front St
Winnsboro, LA 71295-6487

Phone

(318) 435-7333

Fax

(318) 435-9061

NPI assigned

Sep 15, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winnsboro Medical ClinicGroup PAC ID 4183511017, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140
• Richardson Medical Center Hospital, Rayville, LA, CCN 190151

Merit-based Incentive Payment System (MIPS)

Final score

89.6 of 100Reported as group

Quality

87.57

Improvement activities

40

Cost

73.34

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.nichols@3538.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Winnsboro Medical Clinic

  • Occupational Therapist
  • Winnsboro, LA
  • NPI 1780621326
  Medicare reassignment Care Compare group NPD
• Winnsboro Medical Clinic

  • Rural Health Clinic/Center
  • Winnsboro, LA
  • NPI 1255152419
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1356399539
  Care Compare affiliation
• Richland Parish Hospital Service District No 1-B

  dba Richardson Medical Center

  • General Acute Care Hospital
  • Rayville, LA
  • NPI 1255370144
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1063745602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 HIGHWAY 130",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712957704",
            "telephone_number": "318-435-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 FRONT ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712956487",
            "telephone_number": "318-435-7333",
            "fax_number": "318-435-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "EDWARD",
        "middle_name": "CLAY",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO5939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lauren Moroni, FNP-C
• Priscilla Brooke Mullican
• Leanne Myers, RNFA
• Stephanie Naylor
• James Neal, PHYSICAL THERAPY ASS
• Northeast Delta Human Services Authority (Winnsboro Behavioral Health Clinic-Medical)
• Northeast Delta Human Services Authority (Winnsboro Behavioral Health Clinic)
• Northeast la Ambulance SVC LLC
• Northeast Louisiana Substance Abuse
• Mary Ogden

• Family Nurse Practitioner in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.