Michael Angelo Nicolini II, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1050322

Practice address

1100 Tunnel Rd
Asheville, NC 28805-2043

Phone

(828) 298-7911

NPI assigned

May 19, 2006

Sex

Male

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1962455717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MACON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011522",
            "telephone_number": "828-298-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TUNNEL RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052043",
            "telephone_number": "828-298-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLINI",
        "first_name": "MICHAEL",
        "middle_name": "ANGELO",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": "1050322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Traci Nicholson
• Noelle Nicholson, LCSW
• Zackary Nicholson
• Nickane Prop. LLC
• Nicole Armbrust LCSW PC
• Kani Louise Nicolls, DDS
• Eric Steven Nielsen, PHARMD
• Michael Nielsen, DPT
• Jeffrey John Nienaber, M.D.
• Ju Hsien Jodi Chen Nienaber, M.D.

• Surgical Physician Assistant in Asheville, NC
• Providers in Asheville, NC by specialty
• Surgical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.

Verify at the official NPI Registry.