Individual provider Active NPI

Nichole B Witchey, PA-C

  • Medical Physician Assistant
  • Meadville, PA
National Provider Identifier
1942719711
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA004263 Issued in PA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218000401 PA Practitioner - Physician Assistant 5890053003 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA059312PAMDMedical Physician Assistant
OA004263PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Hospital CurrentSince Jun 1, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.