Shawn Marie Nichols, AGACNP-BC
NPI 1396416533ActiveIndividual· Nurse Practitioner· Orange, CA
Nurse Practitioner (AGACNP-BC) in Orange, California, licensed in CA, with an NPI issued in September 2021. Enrolled in Medicare as practitioner - nurse practitioner. Kestra Medical Technology Services, Inc. reported $122.20 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1396416533 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP-BC |
| Sole proprietor | No |
| NPI issued | Sep 27, 2021 |
| Last updated in NPPES | Mar 21, 2023 |
| Certified by provider | Mar 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP95018554 | CA |
| Nurse Practitioner, Acute Care | 363LA2100X | 95018554 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|
Industry payments (Open Payments)
- 2024$122.20 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Kestra Medical Technology Services, Inc. | $122.20 | 1 |
What the 2024 payments were for
- Food and Beverage$122.20 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner providers in Orange
- 1275101800
- 1679326383
- 1447149596
- 1528297157
- 1023225281
- 1659774560
- 1376816785
- 1225113293
- 1952557191
- 1780875005
- 1205245560
- 1811446214