Scott Nicholson, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2676 Issued in OK

Practice address

1 S Bryant Ave
Edmond, OK 73034-6309

Phone

(405) 341-6100

NPI assigned

Jul 19, 2016

Last updated

Mar 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stillwater Medical Center AuthorityGroup PAC ID 2365353794, 155 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: snicholson175473@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stillwater Medical Center Authority

  • Family Medicine Physician
  • Stillwater, OK
  • NPI 1558377135

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  Medicare reassignment
• Stigler Health and Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Stigler, OK
  • NPI 1891752853
  Medicare reassignment
• The Center for Therapeutic Interventions

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bartlesville, OK
  • NPI 1831439066
  Medicare reassignment
• Questcare Hospitalists Oklahoma LLC

  • Hospitalist Physician
  • Edmond, OK
  • NPI 1538505342
  NPD
• St. John Physicians, Inc

  dba Siggins Memorial Clinic

  • Rural Health Clinic/Center
  • Barnsdall, OK
  • NPI 1033176367
  NPD
• Stillwater Medical Center Authority

  dba Stillwater Family Medical of Perry

  • Family Medicine Physician
  • Perry, OK
  • NPI 1407729361
  NPD
• The Center for Therapeutic Interventions

  • Methadone Clinic
  • Tulsa, OK
  • NPI 1790803286
  NPD
• Stillwater Medical Center Physicians

  • Anesthesiology Physician
  • Stillwater, OK
  • NPI 1295859387
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Stillwater Medical Center Authority

  dba Stillwater Medical Center

  • General Acute Care Hospital
  • Stillwater, OK
  • NPI 1164494027
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1033562673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7477 E 46TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741456305",
            "telephone_number": "918-384-0002",
            "fax_number": "918-384-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346309",
            "telephone_number": "405-341-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "SCOTT",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2676",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsy Nichols
• Jill Nichols, LPC
• Katelyn Nichols
• Mary Marie Nichols, LPC-CANDIDATE
• Sofia Maria Nichols, PT
• Nick Bhatt, M.D. PC
• Andrea Nickels, RBT
• Nicole Paynter, Occupational Therapy, PLLC
• Brooke A Nida, MD
• Nightengale Chiropractic, LLC

• Medical Physician Assistant in Edmond, OK
• Providers in Edmond, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.