Individual provider Active NPI

William Thomas Nicholl Jr., PA-C

  • Physician Assistant
  • Langhorne, PA
National Provider Identifier
1730050006
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA067023 Issued in PA
Practice address
1201 Langhorne Newtown Rd Ste 1
Langhorne, PA 19047-1295
Phone
(215) 710-2000
NPI assigned
Sep 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA067023 PA Primary
Physician Assistant 363A00000X C5-0012360 DE

Addresses

Primary practice location

1201 Langhorne Newtown Rd Ste 1
Langhorne, PA 19047-1295

Mailing address

290 Charles St
Southampton, PA 18966-3626
Phone (267) 752-5842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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

Enrollment IDStateProvider typePAC IDDetails
I20251020001159 PA Practitioner - Physician Assistant 8628566940 Reassigns benefits to 1 organization
I20251020001460 DE Practitioner - Physician Assistant 8628566940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, shared by 18 NPIs, 995 clinicians

Practice addresses (Care Compare)

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-2100

701 N Clayton St
Wilmington, DE 19805-3165
Phone (302) 421-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA067023PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Current Accepting new patients
Cep America LLC CurrentSince Nov 1, 2025 Accepting new patients
Cep America LLC CurrentSince Nov 1, 2025 Accepting new patients
Cep America LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

Interoperability endpoints

  • Direct secure messaging: wnicholl2016479@direct.trinity-health.org

Organizations & group practices 4

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": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1730050006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CHARLES ST",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663626",
            "telephone_number": "267-752-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LANGHORNE NEWTOWN RD STE 1",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471295",
            "telephone_number": "215-710-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLL",
        "first_name": "WILLIAM",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067023",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0012360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.