Devin Leigh Nichols
Individual provider Active NPI Physician Assistant · Elkton, MD
NPI 1255068151 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1255068151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 106 Bow St
Elkton, MD 21921-5544 - Phone
- (410) 398-4000
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Hospital of Cecil County
Practice addresses (Care Compare)
106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000
Hospital & facility affiliations
- Union Hospital of Cecil County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DE, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220826000257 | DE | Practitioner - Physician Assistant | 1759765662 | Reassigns benefits to 1 organization |
| I20220913003380 | MD | Practitioner - Physician Assistant | 1759765662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital of Cecil County, Inc. | Current |
Accepting new patients | |
| Christiana Care Health Services Inc | Current |
Accepting new patients | |
| Christiana Care Health Services, Inc | Current |
Accepting new patients | |
| Union Hospital of Cecil County | Current |
Accepting new patients | |
| Christiana Care Health Services, Inc | Physician Assistant | Past | Accepting new patients |
Locations
4735 Ogletown Stanton Rd
Ste 3301
Newark, DE 19713
Phone (302) 623-4370
4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343
501 W 14th St
#4154
Wilmington, DE 19801
Phone (302) 428-4175
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
207 North St
Elkton, MD 21921
Phone (410) 996-8700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
106 Bow St
Elkton, MD 21921-5544
Mailing address
8 Cottage CT
Bear, DE 19701-1420
Phone (302) 354-6972
Other providers in Elkton, MD
- Neurosurgery Associates, PA
- New Health of North East, LLC
- Chantal Newsome
- Next Step Physical Therapy, LLC
- Muhammed Arif Niaz
- Christine Wanjiru Njoora
- No Place Like Home LLC
- North American Partners in Anesthesia Maryland LLC
- North Bay Geriatric Healthcare Services, LLC
- North Star Medicine LLC
All providers in Elkton, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.