Nicklaus Deevers

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

201 Lyons Ave
Newark, NJ 07112-2027

Phone

(973) 926-7240

NPI assigned

Jun 23, 2021

Sex

Male

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 NJ, CO2 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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Solutions Glendale PCGroup PAC ID 7517103906, 42 clinicians

Quality Urgent Care Professional CorporationGroup PAC ID 5092053751, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.85 of 100Reported as group

Quality

91.15

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

94.87

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Urgent Care Solutions Glendale, P.C.

  dba Doctors Express Cherrycreek

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1336491075

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Louisville, CO
  • NPI 1497227060
  Medicare reassignment Care Compare group
• Primary Care Solutions P.C.

  dba AFC Primary Care

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1871923250

  Family Medicine

  Medicare reassignment NPD
• Usacs of Colorado, Inc

  • Emergency Medicine Physician
  • Littleton, CO
  • NPI 1760415871
  Medicare reassignment NPD
• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041
  Medicare reassignment
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806
  Medicare reassignment
• Premier Emergency Services, Inc

  • Emergency Medicine Physician
  • Westminster, CO
  • NPI 1457755688
  Medicare reassignment
• Usacs Community Emergency Services of Colorado, Inc.

  • Emergency Medicine Physician
  • Arvada, CO
  • NPI 1053824979
  Medicare reassignment
• Premier Emergency Services, Inc

  • Emergency Medicine Physician
  • Westminster, CO
  • NPI 1962037440
  NPD
• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Longmont, CO
  • NPI 1891483442
  NPD
• Urgent Care Solutions Glendale, PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1780190801
  NPD
• Usacs Community Emergency Services of Colorado, Inc.

  • Emergency Medicine Physician
  • Breckenridge, CO
  • NPI 1003549460
  NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1285203158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 HOES LN W",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEVERS",
        "first_name": "NICKLAUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Debenedetto, CRNA
• Justin Deberardinis
• Diana R. Decosimo, M.D.
• Jacqueline Decunzo, ANP
• Deyaa Deek, MD
• Augustina Christine Defoe, APN, MSN
• Joseph Defrank Castro, MD
• Eric Degaetano, DO
• Lucius Scipio Degregorio, MD
• Sarah Dehavilland

• Physician Assistant in Newark, NJ
• Providers in Newark, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.