Nicole Marie Nutter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13483 Issued in TX

Practice address

4214 Andrews Hwy Ste 110
Midland, TX 79703-4864

Phone

(432) 300-7271

NPI assigned

Feb 26, 2020

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Basin Dermatology

  • Dermatology Physician
  • Midland, TX
  • NPI 1063003754
  Medicare reassignment
• Pediatric Associates of Austin, P.a.

  • Pediatrics Physician
  • Austin, TX
  • NPI 1528092566
  NPD (past)

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1184258378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 110",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034864",
            "telephone_number": "432-300-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY STE 110",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034864",
            "telephone_number": "432-300-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Midland County Volunteer Fire Department
• Nourish 4 Wellness
• NSMD Medical PLLC
• Liza Nunez
• Nurses Unlimited Inc
• Jennifer Onyinye Nwanya
• Chidera Best Nzedinma, DNP, PMHNP-BC
• Margaret O'Neal
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)
• Tammy Marie Ochoa-Billings

• Physician Assistant in Midland, TX
• Providers in Midland, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.