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Jesse Nichols

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NPI Number Detailed Information

Provider Information:

Name: Jesse Nichols
Gender: M
Provider License Number If Given: 102205683

NPI Information:

NPI: 1891188892
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/15/2015

Last Update Date: 7/18/2019

Provider Business Mailing Address:

Address: 112 LOW ST
Butte, MT 59701
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 633D MEDICAL GROUP/SGHC 77 NEALY AVE
Joint Base Langley-Eustis, VA 23665
Phone Number: 7577646800
Fax Number:

Provider Taxonomy:

Primary: 207P00000X
Secondary (if any): 390200000X
State: VA

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About Jesse Nichols

Jesse Nichols ( JESSE NICHOLS ) is An Emergency Medicine Physician in Joint Base Langley-Eustis, VA. The NPI Number for Jesse Nichols is 1891188892.
The current location address for Jesse Nichols is 633D MEDICAL GROUP/SGHC 77 NEALY AVE Joint Base Langley-Eustis, VA 23665 and the contact number is and fax number is . The mailing address for Jesse Nichols is 112 LOW ST Butte, MT 59701- 7577646800 (mailing address contact number - ).
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jesse Nichols ?


Answer: The NPI Number for Jesse Nichols is 1891188892

Where is Jesse Nichols located?


Answer: Jesse Nichols is located at 633D MEDICAL GROUP/SGHC 77 NEALY AVE Joint Base Langley-Eustis, VA 23665.

What is the specialty for Jesse Nichols ?


Answer: The Specialty of Jesse Nichols is An Emergency Medicine Physician.

Are there any online reviews for Jesse Nichols ?


Answer: Not yet!

Are there any other health care providers in Joint Base Langley-Eustis, VA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Jesse Nichols

Number of HCPCS 5
Number of Medicare Beneficiaries 69
Number of Services 70
Total Submitted Charge Amount 35345
Total Medicare Allowed Amount 11642.73
Total Medicare Payment Amount 9515.06
Total Medicare Standardized Payment Amount 9412.28
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 5
Number of Medicare Beneficiaries With Medical 69
Number of Medical Services 70
Total Medical Submitted Charge Amount 35345
Total Medical Medicare Allowed Amount 11642.73
Total Medical Medicare Payment Amount 9515.06
Total Medical Medicare Standardized Payment Amount 9412.28
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 31
Number of Beneficiaries Age 75 to 84 20
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 37
Number of Male Beneficiaries 32
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 12
Number of Beneficiaries With Medicare Only Entitlement 57
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.3
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.17
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.23
Percent (%) of Beneficiaries Identified With Heart Failure 0.42
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.48
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.25
Percent (%) of Beneficiaries Identified With Depression 0.35
Percent (%) of Beneficiaries Identified With Diabetes 0.32
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.74
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.48
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.65
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.7648

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Emergency Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 17
Number of Standardized 30-Day Fills 17
Aggregate Cost Paid for All Claims 284.35
Number of Day's Supply for All Claims 125
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 16
Aggregate Cost Paid for Generic Drugs 239.36
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst #
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst *
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst #
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 69.5
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 1.7724166667

More Providers in Joint Base Langley-Eustis , VA

Ms. Patricia E. Cash-Parkerson
Certified Registered Nurse Anesthetist
NPI Number: 1942246780
Address: 633D MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Dr. Shawna Green Kuhn
General Practice Physician
NPI Number: 1831135623
Address: 633D MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Dr. Dominic Anthony Defrancis
Pediatrics Physician
NPI Number: 1285654798
Address: 77 NEALY AVE Joint Base Langley-Eustis, VA 23665 , Phone: 7572256611
Mrs. Metinee Sarasup Strickland
Physician Assistant
NPI Number: 1992719694
Address: 77 NEALY AVENUE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Dr. Sean Lee Murphy
Pediatrics Physician
NPI Number: 1639230006
Address: 77 NEALY AVENUE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
William E Brooks
Emergency Medicine Physician
NPI Number: 1659515708
Address: 77 NEALY AVENUE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7577646800
Angie Cain
Independent Duty Medical Technicians
NPI Number: 1669606802
Address: 633 MEDICAL GROUP 77 NEALLY AVE Joint Base Langley-Eustis, VA 23665 , Phone: 7577642109
Dr. Andrew Michael Bruton
Emergency Medicine Physician
NPI Number: 1487882536
Address: 77 NEALY AVENUE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7577646800
Mr. Jeffrey Roger Herchler
Physician Assistant
NPI Number: 1629398565
Address: 633D MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Michele Leigh Shirley
Pharmacist
NPI Number: 1912212051
Address: 633D MEDICAL GROUP HOSPITAL 77 NEALY AVENUE, BUILDING 257 Joint Base Langley-Eustis, VA 23665 , Phone: 7572252238
Dr. Richard Zanetti JR.
Pediatrics Physician
NPI Number: 1003101551
Address: 633D MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Dr. Bryan Blazer
Dentist
NPI Number: 1851677850
Address: 77 NEALY AVE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7642255039
Mr. Michael Watt
Pharmacist
NPI Number: 1538435052
Address: 77 NEALY AVE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7577647799
Dr. Mary Boseman Powell
Pharmacist
NPI Number: 1639436660
Address: 77 NEALY AVENUE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Adam Labree Bourgon
Surgery Physician
NPI Number: 1659638575
Address: 633D MEDICAL GROUP 77 NEALY AVE Joint Base Langley-Eustis, VA 23665 , Phone: 7577646950
Tracy Conder
Registered Dietitian
NPI Number: 1386994382
Address: 77 NEALY AVENUE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Denise Nielson
Speech-Language Pathologist
NPI Number: 1992058317
Address: 77 NEALY AVENUE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23365 , Phone: 7572257630
Kimberly R Moser
Psychiatric/Mental Health Nurse Practitioner
NPI Number: 1851635619
Address: 77 NEALY AVENUE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7577646840
Mr. Roger Luis Mendez
Pharmacist
NPI Number: 1821333048
Address: 77 NEALY AVENUE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
William F Wolfe
Certified Registered Nurse Anesthetist
NPI Number: 1336486992
Address: 633D MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Dr. Richard Tan
Emergency Medicine Physician
NPI Number: 1649698895
Address: 633RD MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7577646800
Keith Duron
Dental Hygienist
NPI Number: 1326459652
Address: 633D MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Lynnette Cipolla
Dental Hygienist
NPI Number: 1720480957
Address: 77 NEALY AVENUE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Suzanne Burke Allen
Physical Therapist
NPI Number: 1134523848
Address: 77 NEALY AVENUE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Jesse Nichols
Emergency Medicine Physician
NPI Number: 1891188892
Address: 633D MEDICAL GROUP/SGHC 77 NEALY AVE Joint Base Langley-Eustis, VA 23665 , Phone: 7577646800
Cindy Fernandez
Physician Assistant
NPI Number: 1386012276
Address: 77 NEALY AVE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Dr. Jessica Ballard
Maternal Newborn Registered Nurse
NPI Number: 1730637224
Address: 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7577648290
Dr. Oliver Gentile
Anesthesiology Physician
NPI Number: 1487185344
Address: 633D MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7577648290
Dr. Mary Iskarous
Clinical Psychologist
NPI Number: 1457865131
Address: 633D MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7577646840
Jared Ure
Student in an Organized Health Care Education/Training Program
NPI Number: 1336646520
Address: 76 NEALY AVE Joint Base Langley-Eustis, VA 23365 , Phone: 7572257630
Ms. Diana Elise Strain
Clinical Social Worker
NPI Number: 1497213573
Address: 633D MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Mr. Gary Wayne Whittle
Registered Nurse
NPI Number: 1356996276
Address: 77 NEALY AVE. 633RD MDG/SGHM Joint Base Langley-Eustis, VA 23665 , Phone: 7577645246
Dr. Peter Bradley Broughton
Aerospace Medicine Physician
NPI Number: 1720617558
Address: 77 NEALY AVE 633D MEDICAL GROUP Joint Base Langley-Eustis, VA 23665 , Phone: 9376077205
Dr. James F Forrest
Optometrist
NPI Number: 1881688877
Address: 633D MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7577646973
Dr. Scott Arthur Mackey
Periodontist
NPI Number: 1447249313
Address: 633D MEDICAL GROUP 77 NEALY AVENUE Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630
Dr. James Chaffin Waring JR.
General Practice Dentistry
NPI Number: 1821069766
Address: 633D MEDICAL GROUP 77 NEALY AVE Joint Base Langley-Eustis, VA 23665 , Phone: 7572257630

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