Deborah Ann Nichols, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN078398 Issued in AZ

Practice address

200 W Frontier St
Suite M
Payson, AZ 85541-5362

Phone

(928) 478-6280

Fax

(928) 478-6206

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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 AZ

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Home Care - Payson Home health agency, Payson, AZ, CCN 037114
• Hospice of Payson, LLC Hospice, Payson, AZ, CCN 031633
• Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318

Merit-based Incentive Payment System (MIPS)

Final score

69.29 of 100Reported as individual

Quality

40.5

Promoting interoperability

70

Improvement activities

40

Cost

82.13

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: deborah.nichols.p1@direct.hcfcvmed.nextgenshare.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.

• Dan Nurse Practitioner Services, LLC

  • Primary Care Nurse Practitioner
  • Payson, AZ
  • NPI 1477858801
  Medicare reassignment Authorized official
• Emergency Health Partners-Verde Valley PLC

  • Emergency Medicine Physician
  • Cottonwood, AZ
  • NPI 1023253432
  NPD (past)
• Grant Clinic LLC

  • Addiction Medicine (Anesthesiology) Physician
  • Payson, AZ
  • NPI 1528490968
  NPD (past)

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

• Banner Health

  • Critical Access Hospital
  • Payson, AZ
  • NPI 1063923340
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1568844181
  Care Compare affiliation
• Hospice of Payson, LLC Dba Covenant Hospice

  • Community Based Hospice Care Agency
  • Payson, AZ
  • NPI 1285059675
  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1962425389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W FRONTIER ST",
            "address_2": "SUITE M",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415362",
            "telephone_number": "928-595-1176",
            "fax_number": "928-478-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W FRONTIER ST",
            "address_2": "SUITE M",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415362",
            "telephone_number": "928-478-6280",
            "fax_number": "928-478-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN078398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Payson, AZ
• Providers in Payson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.