Mary Tsakiris Nicholas, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA055885 Issued in PA

Practice address

1101 Paoli Pike
West Chester, PA 19380-4642

Phone

(610) 918-2500

NPI assigned

Dec 7, 2012

Last updated

Nov 10, 2016By the provider in NPPES

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

Other names 1

• Mary Tsakiris Former name

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hurley Dermatology,PCGroup PAC ID 9335187889, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91 of 100Reported as group

Quality

94.46

Promoting interoperability

100

Improvement activities

40

Cost

75.55

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Hurley Dermatology,PC

  • Specialist
  • West Chester, PA
  • NPI 1396943239
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1902141575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PAOLI PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804642",
            "telephone_number": "610-918-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PAOLI PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804642",
            "telephone_number": "610-918-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "MARY",
        "middle_name": "TSAKIRIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "TSAKIRIS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Nguyen
• Linda Nguyen
• Steven Duy Nguyen
• Thanh Binh Nguyen, DMD
• Vu Ngoc Nguyen, D.M.D.
• Sara Shaw Nicholas, M.D.
• Darcy Lynne Nick
• Nicole Mallis LCSW LLC
• Jenny Nielsen, PH.D., BCBA-D
• John R Nikas, D.M.D.

• Medical Physician Assistant in West Chester, PA
• Providers in West Chester, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.