Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole K Nichols, ANP

Individual provider Nurse Practitioner · NPI 1962836551

Nicole K Nichols, ANP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2013, 13 years ago. Practices with American Multispecialty Group Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Phone: (314) 543-5200
Fax: (314) 543-5219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2013036540 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2010021406 (MO)

Record details

NPI number1962836551
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedAugust 30, 2013
Last updated in NPPESMarch 24, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice American Multispecialty Group Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Louis