Active NPI
Patricia Ann Nichols, PA-C
- Physician Assistant
- Yakima, WA
National Provider Identifier
1689865701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10004078
- Practice address
- 3810 Kern Way Ste D
Yakima, WA 98902-7805 - Phone
- (509) 248-4303
- Fax
- (509) 469-2441
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10004078 | WA | Primary |
Addresses
Primary practice location
3810 Kern Way Ste D
Yakima, WA 98902-7805
Mailing address
3810 Kern Way Ste D
Yakima, WA 98902-7805
Phone (509) 248-4303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3810 Kern Way
Suite D
Yakima, WA 98902-7805
Phone (509) 494-2912
Hospital & facility affiliations
- Yakima Valley Memorial
- Kittitas Valley Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.67 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 92.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10004078 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen William Doggett, M.D. PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Yakima, WA
- NPI 1194049510
-
- Radiation Oncology Physician
- Newport Beach, CA
- NPI 1427281666
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1689865701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 KERN WAY STE D",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989027805",
"telephone_number": "509-248-4303",
"fax_number": "509-469-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 KERN WAY STE D",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989027805",
"telephone_number": "509-248-4303",
"fax_number": "509-469-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2023-01-16",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.