Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891188892 Individual Practitioner Male Practitioner

Dr. Jesse Nichols , DO

Emergency Medicine • Joint Base Langley-Eustis, VA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Jesse Nichols, DO is a registered healthcare professional specializing in Emergency Medicine in Joint Base Langley-Eustis, VA. Official NPI practice address is registered at 633D MEDICAL GROUP/SGHC.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

633d Medical Group/sghc
77 Nealy Ave

Joint Base Langley-Eustis, VA 236652040

Telephone 7577646800

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Joint Base Langley-Eustis, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Joint Base Langley-Eustis, VA (1769 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
51 51 $543.00 $179.07
99284 Emergency department visit with moderate level of medical decision making
15 15 $368.00 $122.81

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OH 34.012968

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License VA 0102205683

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Corey Czajka , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1033516257
Dr. Kyle Hollmann , DO

Emergency Medicine

NPI 1285195966

Doctor of Osteopathic Medicine (D.O.)

Dr. Matthew Bisgaier , MD

Emergency Medicine

NPI 1346986320

Doctor of Medicine (M.D.)

Dr. Kristopher Filak , MD

Emergency Medicine

NPI 1396034609

Doctor of Medicine (M.D.)

Dr. Kevin Mckelvey , DO

Emergency Medicine

NPI 1417217118

Doctor of Osteopathic Medicine (D.O.)

Dr. Joseph Teresi , MD

Emergency Medicine

NPI 1447872437

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 18, 2019

Registered at 633D MEDICAL GROUP/SGHC, 77 NEALY AVE, JOINT BASE LANGLEY-EUSTIS, VA 236652040 (Tel: 7577646800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2019

Emergency Medicine (License #34.012968 in OH)

👤
Provider Name / Credentials Updated June 13, 2019

Recorded as JESSE NICHOLS, DO

NPI Profile Active March 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2015

Registered at 272 HOSPITAL RD, CHILLICOTHE, OH 456019031 (Tel: 7407797500)

📍
Updated Business Mailing Address March 15, 2015

Registered at 112 LOW ST, BUTTE, MT 597017633

👤
Provider Name / Credentials Updated March 15, 2015

Recorded as JESSE NICHOLS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891188892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2015
Last Update: July 18, 2019
Sole Proprietor: No

Mailing Address

112 Low St

Butte, MT 597017633

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.