Individual provider Active NPI

John Nicholson

  • Family Medicine Physician
  • Somerset, PA
National Provider Identifier
1336152842
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS008845L Issued in PA
Practice address
329 S Pleasant Ave
Somerset Hospital
Somerset, PA 15501-2262
Phone
(814) 445-3575
NPI assigned
Aug 14, 2006
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS008845L PA Primary

Addresses

Primary practice location

329 S Pleasant Ave
Somerset Hospital
Somerset, PA 15501-2262

Mailing address

329 S Pleasant Ave
Somerset Hospital
Somerset, PA 15501-2262

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000037 PA Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Hospitalist 3375674385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice, Hospitalist
Education
New York College of Osteo Medicine of New York Institute of Technology, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somerset Health Services IncGroup PAC ID 2668434614, 44 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

329 S Pleasant Ave
Somerset Family Prac
Somerset, PA 15501-2262
Phone (814) 445-3575

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
65.53
Promoting interoperability
100
Improvement activities
40
Cost
76.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Family Medicine CurrentSince Dec 1, 2018 Accepting new patients
Somerset Health Services Inc Family Medicine Current Accepting new patients
Somerset Health Services, Inc. CurrentSince Aug 1, 2003 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 1, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Somerset Health Services, Inc. CurrentSince Aug 1, 2003 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Medexpress Urgent Care, PC - Monaca Past Accepting new patients
Twin Lakes Center Inc Past Accepting new patients

Locations

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

1590 N Center Ave
Ste 115
Somerset, PA 15501
Phone (814) 445-3575

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

329 S Pleasant Ave
Somerset, PA 15501
Phone (814) 445-3575

Interoperability endpoints

  • Direct secure messaging: john.f.nicholson@upmcdirect.com

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1336152842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S PLEASANT AVE",
            "address_2": "SOMERSET HOSPITAL",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S PLEASANT AVE",
            "address_2": "SOMERSET HOSPITAL",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012262",
            "telephone_number": "814-445-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008845L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.