Skye Kelsey Nicholls, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1987 S 8TH St
Fernandina Beach, FL 32034-3071

Phone

(904) 624-7003

NPI assigned

Nov 8, 2021

Sex

Female

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 FL

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

Specialty

Physician Assistant

Education

Yale University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amelia Express Care, LLCGroup PAC ID 8628389244, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Amelia Express Care, LLC

  • Primary Care Clinic/Center
  • Fernandina Beach, FL
  • NPI 1952701435
  Medicare reassignment Care Compare group
• Amelia Express Care, LLC

  • Urgent Care Clinic/Center
  • Fernandina Beach, FL
  • NPI 1245611037
  NPD (past)
• Medical Specialists of Northeast Florida PLLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1285938936
  NPD (past)
• S S Marathe MD PA

  • Nephrology Physician
  • St Augustine, FL
  • NPI 1275584492
  NPD (past)

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1881359594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 S 8TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343071",
            "telephone_number": "904-624-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 S 8TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343071",
            "telephone_number": "904-624-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLLS",
        "first_name": "SKYE",
        "middle_name": "KELSEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nassau Medical Imaging, PA
• Nassau Open MRI LLC
• Heather Neighbors
• Agata Nelson, LM
• Justine I Nesset, MSN, RN, FNP-BC
• Margaret Nick, LCSW
• Niki Therapy Inc
• Melissa Nixon
• Pamela L Nixon
• Northland Hearing Centers, Inc.

• Medical Physician Assistant in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Medical Physician Assistant in Florida

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

Verify at the official NPI Registry.