Individual provider Active NPI

Jessica D Nichols, ARNP

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1508367889
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9310016 Issued in FL
Practice address
2301 N 9TH Ave
Pensacola, FL 32503-3988
Phone
(850) 490-0364
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9310016 FL Primary

Addresses

Primary practice location

2301 N 9TH Ave
Pensacola, FL 32503-3988

Mailing address

20 N Tarragona St
Pensacola, FL 32502-6063
Phone (256) 303-5108

Other identifiers 1

IdentifierTypeStateIssuer
024076700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20180417002937 FL Practitioner - Nurse Practitioner 6204199698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
76.75
Promoting interoperability
99
Improvement activities
40
Cost
70.12

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9310016FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Apr 1, 2018 Accepting new patients
Baptist Medical Group LLC CurrentSince Apr 1, 2018 Accepting new patients
Still Waters Medical Spa PastSince Sep 29, 2024 Accepting new patients

Locations

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1717 N E St
Ste 231
Pensacola, FL 32501
Phone (850) 444-4785

9400 University Pkwy
Ste 101B
Pensacola, FL 32514
Phone (850) 208-6130

5100 N 12th Ave
Ste 101
Pensacola, FL 32504
Phone (850) 208-6130

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.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1508367889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N TARRAGONA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026063",
            "telephone_number": "256-303-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033988",
            "telephone_number": "850-490-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JESSICA",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9310016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024076700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.