Individual provider Active NPI

Pamela Nicolas, PA-S

  • Physician Assistant
  • Richardson, TX
National Provider Identifier
1932816741
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18202 Issued in TX
Practice address
2323 N Central Expy
Richardson, TX 75080-2712
Phone
(214) 453-4533
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18202 TX Primary

Addresses

Primary practice location

2323 N Central Expy
Richardson, TX 75080-2712

Mailing address

2323 N Central Expy
Richardson, TX 75080-2712
Phone (214) 453-4533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20241002003274 TX Practitioner - Physician Assistant 5496286395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arze Medical PLLCGroup PAC ID 0547528978, 21 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Meridian Health Post Acute PLLCGroup PAC ID 0648750679, 55 clinicians
Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

4835 LBJ Fwy
Suite 900
Dallas, TX 75244-6001

4835 Lyndon B Johnson Fwy
Suite 900
Dallas, TX 75244-6001
Phone (469) 420-5544

5242 Medical Dr
Rockwall, TX 75032-5001
Phone (469) 248-5853

5250 Medical Dr
Key Medical
Rockwall, TX 75032-5001
Phone (469) 338-0204

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

8130 Meadow Rd
Key Medical
Dallas, TX 75231-3462
Phone (469) 248-5853

950 W Bethany Dr
Suite 570
Allen, TX 75013-3845
Phone (844) 941-3087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Partners PLLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

950 W Bethany Dr
Ste 570
Allen, TX 75013
Phone (402) 651-5338

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

3315 Cross Timbers Rd
Flowermound, TX 75028
Phone (410) 552-4800

4201 Stonegate Blvd
Ft Worth, TX 76109
Phone (817) 924-5440

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1932816741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 N CENTRAL EXPY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802712",
            "telephone_number": "214-453-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 N CENTRAL EXPY",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802712",
            "telephone_number": "214-453-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAS",
        "first_name": "PAMELA",
        "credential": "PA-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.