Individual provider Active NPI

Jessica Nichols, FNP-C

  • Family Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1306427240
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181477 Issued in VA
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

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211117001934 DC Practitioner - Nurse Practitioner 3779972591 Reassigns benefits to 2 organizations
I20211118001696 VA Practitioner - Nurse Practitioner 3779972591 Reassigns benefits to 3 organizations

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
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians
Pulmonary Associates of Fredericksburg IncGroup PAC ID 5799673596, 8 clinicians

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 Hospital, Fredericksburg, VA, CCN 490022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001244575VAMDMedical-Surgical Registered Nurse
0024181477VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care - Virginia PLLC Family CurrentSince Jul 16, 2025 Accepting new patients
Pulmonary Associates of Fredericksburg Inc Current Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Sep 15, 2021 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.