Individual provider Active NPI

Marcia Danielle Nicoll, PA-C

  • Medical Physician Assistant
  • Sewickley, PA
National Provider Identifier
1639610637
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA058935 Issued in PA
Practice address
701 Broad St
Sewickley, PA 15143-1681
Phone
(877) 771-4847
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058935 PA Primary

Addresses

Primary practice location

701 Broad St
Sewickley, PA 15143-1681

Mailing address

4401 Penn Ave
Pittsburgh, PA 15224-1334
Phone (412) 692-6428

Other practice location 1

4401 Penn Ave
Pittsburgh, PA 15224-1334
Phone (412) 692-6428

Other practice location 2

303 E 10th Ave
Tarentum, PA 15084-1003
Phone (724) 224-2770

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170428001286 PA Practitioner - Physician Assistant 1557648532 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

303 E 10TH Ave
Upmc Gohealth Urgent Care
Tarentum, PA 15084-1003
Phone (724) 224-2770

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

50 Freeport Rd
Suite 500
Aspinwall, PA 15215-2976
Phone (412) 782-3278

5201 Baum Blvd
Pittsburgh, PA 15224-2303
Phone (412) 687-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA058935PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities Inc CurrentSince Jul 13, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 27, 2017 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 2, 2021 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 2, 2021 Accepting new patients
Valley Medical Facilities Inc CurrentSince Jul 1, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 27, 2017 Accepting new patients
Valley Medical Facilities Inc CurrentSince Jul 13, 2019 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Jul 13, 2019 Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

4401 Penn Ave
Pittsburgh, PA 15224
Phone (412) 692-5030

4401 Penn Ave
Fl 3
Pittsburgh, PA 15224
Phone (412) 692-5135

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

2599 Wexford Bayne Rd
Sewickley, PA 15143
Phone (724) 933-3644

303 E 10th Ave
Tarentum, PA 15084
Phone (724) 224-2770

Interoperability endpoints

  • Direct secure messaging: marcia.d.taylor@upmcdirect.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1639610637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241334",
            "telephone_number": "412-692-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BROAD ST",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431681",
            "telephone_number": "877-771-4847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152241334",
            "country_code": "US",
            "telephone_number": "412-692-6428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 E 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Tarentum",
            "state": "PA",
            "postal_code": "150841003",
            "country_code": "US",
            "telephone_number": "724-224-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLL",
        "first_name": "MARCIA",
        "middle_name": "DANIELLE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.