NPIMap

Individual provider Active NPI

Nicole L Norris, PA

  • Physician Assistant
  • Grove City, PA
National Provider Identifier
1851699789
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064143 Issued in PA
Practice address
647 N Broad Street Ext Ste 106
Grove City, PA 16127-4604
Phone
(724) 458-8460
Fax
(724) 458-5062
NPI assigned
Mar 1, 2011
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 PA06968 TX
Physician Assistant 363A00000X MA064143 PA Primary

Addresses

Primary practice location

647 N Broad Street Ext Ste 106
Grove City, PA 16127-4604

Mailing address

4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5227

Other practice location 1

621 Kelly Blvd
Slippery Rock, PA 16057-8523
Phone (724) 794-4009

Other practice location 2

420 Hillcrest Ave
Grove City, PA 16127-1708
Phone (724) 458-4950

Other names 1

  • Nicole L Rollins Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230511003007 PA Practitioner - Physician Assistant 1557547841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1307 Federal St
Suite B300
Pittsburgh, PA 15212-4775
Phone (412) 359-3751

647 N Broad St Ext
Grove City, PA 16127-4604

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06968TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Mar 30, 2023 Accepting new patients
Allegheny Clnic CurrentSince Mar 30, 2023 Accepting new patients

Locations

420 Hillcrest Ave
Grove City, PA 16127
Phone (412) 828-5250

647 N Broad Street Ext
Ste 106
Grove City, PA 16127
Phone (724) 458-8460

1307 Federal St
Ste B110
Pittsburgh, PA 15212
Phone (412) 359-3360

1307 Federal St
Ste B300
Pittsburgh, PA 15212
Phone (412) 359-3751

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

Interoperability endpoints

  • Direct secure messaging: nnorris610686@direct.ahn.org

Organizations & group practices 3

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 8

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": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1851699789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 7",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 N BROAD STREET EXT STE 106",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274604",
            "telephone_number": "724-458-8460",
            "fax_number": "724-458-5062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Kelly Blvd",
            "address_purpose": "LOCATION",
            "city": "Slippery Rock",
            "state": "PA",
            "postal_code": "160578523",
            "country_code": "US",
            "telephone_number": "724-794-4009",
            "fax_number": "724-794-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Hillcrest Ave",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "PA",
            "postal_code": "161271708",
            "country_code": "US",
            "telephone_number": "724-458-4950",
            "fax_number": "724-458-4822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06968",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ROLLINS",
            "middle_name": "L",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grove City, PA

Sources for this page

Verify at the official NPI Registry.