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CRYSTAL JO NICHOLS C.F.N.P. NPI 1659681328


NPI Information

NPI: 1659681328
Provider Name: CRYSTAL JO NICHOLS, C.F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
285 IVIE LN
MANTACHIE, MS
ZIP 38855
Phone: (662) 282-4197
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Crystal Jo Nichols, C.F.N.P. is a family nurse practitioner in Mantachie, MS with 14 years of experience. Crystal Jo Nichols, C.F.N.P. NPI is 1659681328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

285 IVIE LN
MANTACHIE, MS
ZIP 38855-764
Phone: (662) 282-4197
Fax: (662) 282-5121

The NPI 1659681328 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Hemoglobin a1c level (HCPCS:83036)
  • Urinalysis, manual test (HCPCS:81002)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 10/15/2010 and was last updated on 10/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR870294MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105372791MEDICAIDMISSISSIPPI
2302I509866MEDICARE OSCAR/CERTIFICATIONMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.