Active NPI 1083978837 Individual Practitioner Female Practitioner

Jennifer Lynn Nicholas , FNP

Nurse Practitioner • Clarkston, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jennifer Nicholas, FNP is a certified Nurse Practitioner practicing in Clarkston, WA. With approximately 14 years of clinical experience since completing medical education in 2012, Jennifer Nicholas delivers high-quality medical care to the local community at 1433 5TH ST.

Jennifer Nicholas is affiliated with Integrated Dermatology Of Clarkston Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1433 5th St

Clarkston, WA 994032714

Telephone 5097585141

Fax 5097585299

Associated Practice Facility / Clinic

🏢 Integrated Dermatology Of Clarkston Pllc Facility NPI 1609656222

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Clarkston, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -6.7 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 11.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Clarkston, WA (2339 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nicholas (14 Years) 14 Yrs

Clarkston Specialty Average (20.7 Years) 20.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	734	636	$170.00	$77.08
17003 Destruction of precancer skin growth, 2-14 growths	630	186	$15.00	$5.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	467	430	$107.28	$48.22
17000 Destruction of skin growth	382	328	$127.43	$48.67
11102 Tangential biopsy of single skin lesion	338	321	$185.00	$84.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	133	$237.63	$108.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$206.65	$94.31
11103 Biopsy of related skin growth, each additional growth	107	82	$95.00	$43.22
17110 Destruction of up to 14 skin growths	64	55	$210.00	$97.74
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$135.00	$61.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$309.52	$141.56
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	28	$557.73	$260.87
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	25	$450.00	$105.08
69100 Biopsy of ear	30	27	$177.17	$65.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	627	191	$15.00	$5.86
99213 Established patient office or other outpatient visit, typically 15 minutes	562	473	$167.29	$77.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	465	420	$105.00	$48.45
17000 Destruction of skin growth	355	317	$125.00	$49.73
11102 Tangential biopsy of single skin lesion	302	288	$185.00	$86.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	160	160	$205.00	$95.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	93	$235.00	$109.30
99202 New patient office or other outpatient visit, typically 20 minutes	87	87	$135.00	$62.16
11103 Biopsy of related skin growth, each additional growth	86	60	$95.00	$43.93
17110 Destruction of up to 14 skin growths	48	44	$207.08	$96.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$305.00	$142.06
11104 Punch biopsy, first skin growth	16	16	$230.00	$110.00
69100 Biopsy of ear	15	14	$175.00	$78.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	569	188	$15.00	$5.91
99213 Established patient office or other outpatient visit, typically 15 minutes	447	371	$144.84	$77.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	431	388	$92.17	$48.29
17000 Destruction of skin growth	334	303	$117.84	$48.44
11102 Tangential biopsy of single skin lesion	275	263	$177.27	$88.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$195.39	$95.59
11103 Biopsy of related skin growth, each additional growth	89	62	$91.97	$44.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	79	$209.54	$107.85
99202 New patient office or other outpatient visit, typically 20 minutes	82	82	$132.74	$61.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$289.88	$142.64
69100 Biopsy of ear	30	28	$169.00	$71.85
17110 Destruction of up to 14 skin growths	28	25	$195.89	$97.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	553	498	$80.00	$48.65
17003 Destruction of precancer skin growth, 2-14 growths	461	160	$15.00	$5.75
17000 Destruction of skin growth	295	263	$110.00	$51.21
99213 Established patient office or other outpatient visit, typically 15 minutes	287	261	$130.00	$78.54
11102 Tangential biopsy of single skin lesion	239	231	$170.00	$90.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$185.00	$96.97
99202 New patient office or other outpatient visit, typically 20 minutes	80	80	$130.00	$62.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	60	$185.00	$112.21
11103 Biopsy of related skin growth, each additional growth	57	41	$90.00	$45.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$280.00	$138.10
17110 Destruction of up to 14 skin growths	26	21	$190.00	$96.40
69100 Biopsy of ear	18	18	$165.00	$70.21
11104 Punch biopsy, first skin growth	12	12	$215.00	$114.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	788	670	$80.00	$39.59
17003 Destruction of precancer skin growth, 2-14 growths	708	210	$13.88	$5.31
17000 Destruction of skin growth	378	343	$115.00	$49.93
11102 Tangential biopsy of single skin lesion	250	231	$173.72	$87.36
99213 Established patient office or other outpatient visit, typically 15 minutes	159	153	$132.64	$64.88
99202 New patient office or other outpatient visit, typically 20 minutes	85	85	$135.00	$65.60
99201 New patient office or other outpatient visit, typically 10 minutes	74	74	$80.00	$39.86
11103 Biopsy of related skin growth, each additional growth	58	43	$95.00	$46.71
69100 Biopsy of ear	27	26	$171.48	$68.79
17110 Destruction of up to 14 skin growths	23	16	$193.04	$96.26
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	13	$255.00	$128.23
11104 Punch biopsy, first skin growth	11	11	$218.64	$111.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	854	719	$80.00	$38.89
17003 Destruction of precancer skin growth, 2-14 growths	807	224	$10.00	$4.89
17000 Destruction of skin growth	403	362	$115.00	$49.93
11102 Tangential biopsy of single skin lesion	282	269	$170.28	$84.45
99213 Established patient office or other outpatient visit, typically 15 minutes	167	159	$130.00	$63.35
99202 New patient office or other outpatient visit, typically 20 minutes	136	136	$131.99	$65.67
99201 New patient office or other outpatient visit, typically 10 minutes	127	127	$80.00	$39.59
11103 Biopsy of related skin growth, each additional growth	76	60	$93.62	$44.69
69100 Biopsy of ear	27	25	$171.85	$74.56
17110 Destruction of up to 14 skin growths	20	19	$193.50	$89.08
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	15	15	$307.67	$150.82
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$250.77	$121.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	833	679	$77.24	$37.54
17003 Destruction of precancer skin growth, 2-14 growths	667	206	$10.00	$4.52
17000 Destruction of skin growth	360	320	$115.00	$46.95
11100 Biopsy of single growth of skin and/or tissue	311	292	$177.57	$87.55
99213 Established patient office or other outpatient visit, typically 15 minutes	160	153	$127.25	$62.31
99202 New patient office or other outpatient visit, typically 20 minutes	109	109	$130.00	$64.15
99201 New patient office or other outpatient visit, typically 10 minutes	101	101	$77.52	$38.19
11101 Biopsy of each additional growth of skin and/or tissue	90	65	$60.00	$28.02
17110 Destruction of up to 14 skin growths	51	45	$192.25	$94.68
69100 Biopsy of ear	27	26	$172.96	$75.52
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	25	24	$248.00	$106.90
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	25	25	$302.00	$153.45
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	12	12	$298.75	$144.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	804	654	$75.00	$36.86
17003 Destruction of precancer skin growth, 2-14 growths	750	229	$10.00	$4.76
17000 Destruction of skin growth	407	363	$115.00	$47.10
11100 Biopsy of single growth of skin and/or tissue	314	297	$175.00	$85.96
99213 Established patient office or other outpatient visit, typically 15 minutes	187	181	$125.00	$61.59
99201 New patient office or other outpatient visit, typically 10 minutes	118	118	$75.00	$36.85
99202 New patient office or other outpatient visit, typically 20 minutes	109	109	$130.00	$62.52
11101 Biopsy of each additional growth of skin and/or tissue	92	66	$57.88	$27.36
69100 Biopsy of ear	37	36	$170.00	$74.25
17110 Destruction of up to 14 skin growths	25	16	$187.20	$94.45
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	24	23	$297.50	$144.24
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	19	19	$242.63	$118.31

Medical Specialties & State Licenses

CMS Verified: 2026-08-03

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA ARNP.AP.60299874-NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Integrated Dermatology Of Clarkston Pllc

1250 Se Bishop Blvd, Pullman, WA 991635449

Phone: 5097585141

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. James Komorous , MD

Dermatology

NPI 1053313411

Doctor of Medicine (M.D.)

Jacob Blazzard , PA-C

Physician Assistant

NPI 1326125485

Physician Assistant (Certified)

Carolyn Shoemaker , PA-C

Physician Assistant

NPI 1477856649

Physician Assistant (Certified)

Dr. Walter Williams , MD

Dermatology

NPI 1841269248

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address August 03, 2026

Registered at 4700 EXCHANGE CT STE 110, BOCA RATON, FL 334314450 (Tel: 5619480291)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2026

Nurse Practitioner (License #ARNP.AP.60299874-NP in WA)

✅

NPI Profile Active August 10, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 10, 2012

Registered at 1433 5TH ST, CLARKSTON, WA 994032714 (Tel: 5097585141)

📍

Updated Business Mailing Address August 10, 2012

Registered at 1433 5TH ST, CLARKSTON, WA 994032714 (Tel: 5097585141)

👤

Provider Name / Credentials Updated August 10, 2012

Recorded as JENNIFER NICHOLAS, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2012

Nurse Practitioner (License #AP60299874 in WA)

🟢

Initial NPI Registration & Enumeration June 26, 2012

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: 1083978837

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 26, 2012

Last Update: August 03, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4700 Exchange Ct Ste 110

Boca Raton, FL 334314450

Phone: 5619480291

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

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