Active NPI
Nichole B Witchey, PA-C
- Medical Physician Assistant
- Meadville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- OA004263
- Practice address
- 640 Alden St
Meadville, PA 16335-2348 - Phone
- (814) 373-5255
- Fax
- (814) 373-5259
- NPI assigned
- Sep 25, 2017
- Last updated
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA059312 | PA | |
| Medical Physician Assistant | 363AM0700X | OA004263 | PA | Primary |
Addresses
Primary practice location
640 Alden St
Meadville, PA 16335-2348
Mailing address
1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-5255
Other names 1
- Miss Nichole B Parsell
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA059312 | PA | MD | Medical Physician Assistant |
| OA004263 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titusville Area Hospital | Current | Accepting new patients | |
| Titusville Area Hospital | Past | Accepting new patients | |
| Titusville Area Hospital | Past | Accepting new patients |
Locations
118 Railroad St
Cambridge Springs, PA 16403
Phone (814) 373-3080
10926 State Highway 18
Conneaut Lake, PA 16316
Phone (814) 382-0446
906 Washington St
Conneautville, PA 16406
Phone (814) 373-2276
640 Alden St
Meadville, PA 16335
Phone (814) 373-5255
406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851
Interoperability endpoints
- nichole.witchey@directaddress.net
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.
-
dba Meadville Community Health Center
- Rural Health Clinic/Center
- Meadville, PA
- NPI 1962964981
-
- Audiologist
- Titusville, PA
- NPI 1306712104
-
dba Conneaut Valley Health Center
- Rural Health Clinic/Center
- Conneautville, PA
- NPI 1235691973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1942719711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 GROVE ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352945",
"telephone_number": "814-373-5255",
"fax_number": "814-373-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 ALDEN ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352348",
"telephone_number": "814-373-5255",
"fax_number": "814-373-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITCHEY",
"first_name": "NICHOLE",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-25",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA059312",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "OA004263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICHOLE",
"last_name": "PARSELL",
"middle_name": "B",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.