Individual provider Active NPI

William A Nicholas

  • Physician Assistant
  • Royse City, TX
National Provider Identifier
1982032355
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09160 Issued in TX
Practice address
576 W Interstate 30
Royse City, TX 75189-7538
Phone
(469) 351-0100
Fax
(469) 533-9955
NPI assigned
Oct 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 PA.0003786 CO
Physician Assistant 363A00000X PA09160 TX Primary

Addresses

Primary practice location

576 W Interstate 30
Royse City, TX 75189-7538

Mailing address

576 W Interstate 30
Royse City, TX 75189-7538
Phone (469) 351-0100

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
I20140207000079 TX Practitioner - Physician Assistant 8325277684 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunt Regional Urgent CareGroup PAC ID 1850729682, 31 clinicians

Practice addresses (Care Compare)

2800 State Hwy 24
Suite C
Commerce, TX 75428-2017
Phone (903) 886-1055

3206 Interstate 30
Suite B
Greenville, TX 75402-7002
Phone (903) 408-7979

5000 E Interstate Hwy 30
Suite 120
Fate, TX 75189-8848
Phone (469) 580-0338

576 W Interstate 30
Royse City, TX 75189-7538
Phone (469) 351-0100

810 E Ralph Hall Pkwy
Suite 100
Rockwall, TX 75032-6879
Phone (469) 402-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA09160TXMDPhysician Assistant
PA.0003786COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-I Medical Services, P.a. Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Plano Urgent Care LLC PastSince Jul 1, 2014 Accepting new patients

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1982032355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 W INTERSTATE 30",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751897538",
            "telephone_number": "469-351-0100",
            "fax_number": "469-533-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 W INTERSTATE 30",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751897538",
            "telephone_number": "469-351-0100",
            "fax_number": "469-533-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0003786",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royse City, TX

Sources for this page

Verify at the official NPI Registry.