Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jennifer Lynn Nicholas , FNP

Nurse Practitioner • Clarkston, WA

Active NPI 1083978837 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1433 5th St
Clarkston, WA 994032714

Call 5097585141 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1433 5th St

Clarkston, WA 994032714

Telephone 5097585141
Fax 5097585299
Organization at the Same NPPES Address or Phone
Integrated Dermatology Of Clarkston Pllc Facility NPI 1609656222

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Integrated Dermatology Of Clarkston Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2012

Medicare patients

1,170 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $190,861 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $120,113 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

957 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$375,432 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $79.99 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jennifer Nicholas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jennifer Nicholas as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Clarkston and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: 234. Middle half: 84 to 502.

Too few clinicians listed under Nurse Practitioner in Clarkston have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: $18,362. Middle half: $7,179 to $35,594.

Too few clinicians listed under Nurse Practitioner in Clarkston have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Washington (2024, 893 clinicians with data). Median for this group: $13,803. Middle half: $5,221 to $25,979.

Too few clinicians listed under Nurse Practitioner in Clarkston have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.

Too few clinicians listed under Nurse Practitioner in Clarkston have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: $11,694. Middle half: $1,114 to $110,470.

Too few clinicians listed under Nurse Practitioner in Clarkston have Medicare Part D data for 2024 to compare.

3 active clinicians are listed under Nurse Practitioner with a practice address in Clarkston, WA (2,310 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $79.99.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Education
In-kind items and services
TREMFYA General $79.99

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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 precancer skin growth, 1 growth
382 328 $127.43 $48.67
11102 Biopsy of related skin growth, first growth
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 skin growth, 1-14 growths
64 55 $210.00 $97.74
99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Clobetasol Propionate Clobetasol Propionate 156 4,531 $5,758.45 108
Fluorouracil Fluorouracil 107 3,189 $8,002.83 101
Triamcinolone Acetonide Triamcinolone Acetonide 97 2,540 $851.42 86
Hydrocortisone Hydrocortisone 82 1,807 $447.04 68
Metronidazole Metronidazole 65 2,336 $2,833.04 42
Doxycycline Hyclate Doxycycline Hyclate 57 1,720 $554.25 20
Ketoconazole Ketoconazole 47 1,768 $645.22 29
Clindamycin Phosphate Clindamycin Phosphate 41 1,425 $1,173.70 29
Cephalexin Cephalexin 38 394 $311.10 33
Desonide Desonide 36 693 $913.09 30
Imiquimod Imiquimod 27 868 $1,025.00 22
Halobetasol Propionate Halobetasol Propionate 22 558 $1,673.55 14
Tacrolimus Tacrolimus 21 540 $1,237.04 19
Humira Pen Adalimumab 14 373 $173,037.72 —
Humira(Cf) Pen Adalimumab 13 386 $175,454.98 —
Hydroxychloroquine Sulfate Hydroxychloroquine Sulfate 12 360 $73.55 —
Calcipotriene Calcipotriene 12 339 $1,377.66 —
Fluconazole Fluconazole 11 214 $62.10 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20120807000749

Enrollment State Jurisdiction

WA

PECOS Control ID

3971759986

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Integrated Dermatology Of Clarkston Pllc

1250 Se Bishop Blvd, Pullman, WA 991635449

Phone: 5097585141

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Jacob Blazzard , PA-C

Physician Assistant

NPI 1326125485

Physician Assistant (Certified)

NPI 1053313411

Doctor of Medicine (M.D.)

Carolyn Shoemaker , PA-C

Physician Assistant

NPI 1477856649

Physician Assistant (Certified)

NPI 1841269248

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

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 number reported to NPPES: WA ARNP.AP.60299874-NP)

âś…
NPI Profile Active August 10, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) August 10, 2012

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

📍
Business Mailing Address (Initial Record) August 10, 2012

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

👤
Provider Name / Credentials (Initial Record) August 10, 2012

Recorded as JENNIFER NICHOLAS, FNP

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

Nurse Practitioner (license number reported to NPPES: WA AP60299874)

🟢
Initial NPI Registration & Enumeration June 26, 2012

First registered as active Individual Practitioner in NPPES Database.

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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

Other Nurse Practitioners in Clarkston

Mailing Address

4700 Exchange Ct Ste 110

Boca Raton, FL 334314450

Phone: 5619480291

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.