Melissa K Nicholas, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06018 Issued in TX

Practice address

3450 FM 1960 West
Houston, TX 76042-2435

Phone

(281) 444-1738

Fax

(281) 444-3084

NPI assigned

Jun 10, 2008

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 WA, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Yakima Valley Dermatology Inc PSGroup PAC ID 9830081470, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

Merit-based Incentive Payment System (MIPS)

Final score

83.97 of 100Reported as group

Quality

76.91

Promoting interoperability

91

Improvement activities

40

Cost

77.16

Merit-based Incentive Payment System (MIPS)

Final score

91.96 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

73.19

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: melissan@valley.emadirect.md

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.

• Yakima Valley Dermatology Inc. , PS

  dba Valley Dermatology Associates

  • Dermatology Physician
  • Yakima, WA
  • NPI 1710173703
  Medicare reassignment Care Compare group
• Epiphany Dermatology PA

  • Dermatology Physician
  • Waco, TX
  • NPI 1043615263
  Medicare reassignment
• Oliver Street 5.01(a) Inc.

  dba U.S. Dermatology Partners

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment
• Ross Dermatology

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1134553019
  NPD (past)

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

• Yakima Valley Memorial Hospital Association

  dba MultiCare Yakima Memorial Hospital

  • General Acute Care Hospital
  • Yakima, WA
  • NPI 1053373480
  Care Compare affiliation

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1215197694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WEST LOOP SOUTH",
            "address_2": "STE 400B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273005",
            "telephone_number": "713-277-2222",
            "fax_number": "210-703-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 FM 1960 WEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "760422435",
            "telephone_number": "281-444-1738",
            "fax_number": "281-444-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niche Medical Sales Inc
• Niche Physicians Billing LLC
• Nicholas D. Pigneri, D.D.S., P.C.
• Dianne Nicholas, M.D.
• Erica Blair Nicholas, NP
• Sarah Nicholas, MD
• Nichole Tomjanovich, M.D., P.a.
• Hallie Elisabeth Nicholls, LPC-ASSOCIATE
• Paul Nicholls, M.D. PHD.
• Sarah McNeal Nicholls, OTR, MOT

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.