Chloe Nichols (NPI# 1053654541, PAC ID# 5597903419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053654541 |
| PAC ID by PECOS | 5597903419 |
| Professional Enrollment ID | I20130604000438 |
| Full Name | Chloe Nichols |
| Organization Legal Name | IDEAL TELEMEDICINE SERVICES LLC |
| Address |
47 Virginia Ave Cumberland MD 21502-3964 |
| Phone Number | 50957093022123 |
| Gender | F |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860726221 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210005 | FREDERICK MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 47 Virginia Ave, Cumberland, MD 21502-3964 | 50957093022123 | IDEAL TELEMEDICINE SERVICES LLC |
| 265 Mill St, Suite 100, Hagerstown, MD 21740-6170 | 50957093022123 | IDEAL TELEMEDICINE SERVICES LLC |
| 265 Mill St, Suite 100, Hagerstown, MD 21740-6170 | 8775221275 | IDEAL OPTION, PLLC |
| 8508 W Gage Blvd, Suite A101, Kennewick, WA 99336-8106 | 50957093022123 | IDEAL TELEMEDICINE SERVICES LLC |
| 8508 W Gage Blvd, Suite A101, Kennewick, WA 99336-8106 | 5092221275 | IDEAL OPTION, PLLC |
| 10400 Connecticut Ave, Suite 206, Kensington, MD 20895-3941 | 2407440001 | 3S HEALTH LLC |
| 19 Fontana Ln, Suite 108, Rosedale, MD 21237-3097 | 5092221275 | IDEAL OPTION, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | IDEAL TELEMEDICINE SERVICES LLC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Ann Vichorek | Nurse Practitioner | Ideal Telemedicine Services LLC | 1240 3rd Ave E, Suite 100, Shakopee, MN 55379-1679 |
| Nelsie Toussaint | Nurse Practitioner | Ideal Telemedicine Services LLC | 831 E 2nd St, Duluth, MN 55805-2103 |
| Rhonda Renee Woodside | Nurse Practitioner | Ideal Telemedicine Services LLC | 1601 2nd Ave N, Suite 300w, Great Falls, MT 59401-3243 |
| Jade Ammons | Nurse Practitioner | Ideal Telemedicine Services LLC | 834 S Montana St, Butte, MT 59701-2836 |
| Marianne Hanna Wahba | Physician Assistant | Ideal Telemedicine Services LLC | 22000 64th Ave W, Suite 2f, Mountlake Terrace, WA 98043-2500 |
| Rachael Ann Snyder | Nurse Practitioner | Ideal Telemedicine Services LLC | 316 2nd Ave W, Suite 1, Williston, ND 58801-5218 |
| Ashley Tebay | Nurse Practitioner | Ideal Telemedicine Services LLC | 3301 30th Ave S, Suite 102, Grand Forks, ND 58201-6009 |
| Todd Draper | Nurse Practitioner | Ideal Telemedicine Services LLC | 5431 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7891 |
| Sheri Lynne Bagley | Nurse Practitioner | Ideal Telemedicine Services LLC | 121 N Last Chance Gulch, Suite H, Helena, MT 59601-4140 |
| Blake Kendle Bitton | Physician Assistant | Ideal Telemedicine Services LLC | 1918 Wall St, Everett, WA 98201-3665 |
| Street Address |
47 VIRGINIA AVE |
| City | CUMBERLAND |
| State | MD |
| Zip | 21502-3964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ketty M Ngona | Nurse Practitioner | Ideal Telemedicine Services LLC | 47 Virginia Ave, Cumberland, MD 21502-3964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Ann Riley | Internal Medicine | Western Maryland Health System Corporation | 16 Gulf Memorial Dr, Union Rescue Mission, Cumberland, MD 21502 |
| Leah R Kozlowski | Physician Assistant | Western Maryland Health System Corporation | 16 Gulf Memorial Dr, Union Rescue Mission, Cumberland, MD 21502 |
| David K Moose | Maxillofacial Surgery | Cumberland Oral and Maxillofacial Surgery Associates LLP | 1715 Frederick St, Cumberland, MD 21502-1037 |
| Suketu I Patel | Maxillofacial Surgery | Cumberland Oral and Maxillofacial Surgery Associates LLP | 1715 Frederick St, Cumberland, MD 21502-1037 |
| Kenrick Hamilton Roberts | Dermatology | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Daniel Brian Herring | Dermatology | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Sean Leo Mccagh | Dermatology | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Savannah Brown | Physician Assistant | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Kaleigh Hahn | Physician Assistant | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Natashia M Vanslyke | Physician Assistant | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
| Find all physicians in zip 21502 | |||
| City | CUMBERLAND |
| Zip Code | 21502 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CUMBERLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Chloe Nichols.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.