NICHOLAS WALTHER PA-C
NPI 1003288481
Physician Assistant - Medical in San Bernardino, CA
About Nicholas Walther Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS WALTHER PA-C (NPI 1003288481) is an individual medical provider in San Bernardino, California, licensed in California (52987) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicholas Walther Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
SAN BERNARDINO, CA 92404
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicholas Walther's NPI number?
The NPI number for Nicholas Walther is 1003288481. It was assigned to this individual provider in the NPPES registry on October 26, 2015.
Where is Nicholas Walther located?
Nicholas Walther practices at 2101 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 883-8711.
What is Nicholas Walther's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Nicholas Walther enrolled in Medicare?
Yes. Nicholas Walther is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Nicholas Walther was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicholas Walther, PA-C · NPI 1003288481
Medical physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since October 26, 2015.
## Identity
- **NPI:** 1003288481 (Entity type: Individual)
- **Enumerated:** October 26, 2015
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 52987 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2101 N WATERMAN AVE, San Bernardino, CA 92404-4836
- **Phone:** (909) 883-8711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 26, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1003288481) · Data from the CMS NPPES public registry.