Active NPI
Jessica Nichols, FNP-C
- Family Nurse Practitioner
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024181477
- Practice address
- 1511 Emancipation Hwy
Fredericksburg, VA 22401-4631 - Phone
- (866) 389-2727
- NPI assigned
- Apr 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024181477 | VA | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | 0001244575 | VA |
Addresses
Primary practice location
1511 Emancipation Hwy
Fredericksburg, VA 22401-4631
Mailing address
1511 Emancipation Hwy
Fredericksburg, VA 22401-4631
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1511 Emancipation Hwy
Fredericksburg, VA 22401-4631
Phone (866) 389-2727
521 Park Hill Dr
Fredericksburg, VA 22401-3377
Phone 5408991615103
Hospital & facility affiliations
- Mary Washington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001244575 | VA | MD | Medical-Surgical Registered Nurse |
| 0024181477 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Primary Care - Virginia PLLC | Family | Current | Accepting new patients |
| Pulmonary Associates of Fredericksburg Inc | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
Locations
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
7205 Little River Tpke
Annandale, VA 22003
Phone (703) 256-4030
10250 Bristow Center Dr
Bristow, VA 20136
Phone (703) 369-1739
1511 Emancipation Hwy
Fredericksburg, VA 22401
Phone (540) 889-6874
521 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 899-1615
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Fredericksburg, VA
- NPI 1053340554
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1306427240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 EMANCIPATION HWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014631",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 EMANCIPATION HWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014631",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "JESSICA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-20",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024181477",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "VA",
"license": "0001244575",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.