Matthew O Nichols, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1102 Issued in NH

Practice address

580 Court St
The Cheshire Medical Center (ER)
Keene, NH 03431-1718

Phone

(603) 354-5454

NPI assigned

May 12, 2015

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 NH, VT2 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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cheshire Medical Center Hospital, Keene, NH, CCN 300019

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnichols172981@direct.dartmouth-hitchcock.org

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.

• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198
  Medicare reassignment Care Compare group NPD
• Cheshire Medical Center

  • Emergency Medicine Physician
  • Keene, NH
  • NPI 1093803397
  Medicare reassignment NPD (past)
• Cheshire Medical Center

  dba Cheshire Medical Center Professional Services

  • Family Medicine Physician
  • Keene, NH
  • NPI 1306349444
  NPD
• Dartmouth-Hitchcock Clinic

  dba The Doorway at Dartmouth-Hitchcock Lebanon

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lebanon, NH
  • NPI 1124681846
  NPD
• Mary Hitchcock Memorial Hospital

  dba Cheshire Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Keene, NH
  • NPI 1033761739
  NPD

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

• Cheshire Medical Center

  • General Acute Care Hospital
  • Keene, NH
  • NPI 1629181516
  Care Compare affiliation

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1558749432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 COURT ST",
            "address_2": "THE CHESHIRE MEDICAL CENTER (ER)",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COURT ST",
            "address_2": "THE CHESHIRE MEDICAL CENTER (ER)",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311718",
            "telephone_number": "603-354-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MATTHEW",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New England Sound LLC (Miracle Ear)
• Jeffrey Parlin Newcomer, MD
• Sarah Newell
• Anavernyel Neyland, NP
• Madison Bailey Nichols, PA-C
• James Maynard Nickerson, M.D.
• Richard Nicoletti
• Lauren Niewiadomski, PT, DPT
• Donna Lee Nightingale
• Lucinda Anne Nightingale, M.A., LMFT

• Physician Assistant in Keene, NH
• Providers in Keene, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.