SCOTT NICHOLSON P.A.
NPI 1033562673
Physician Assistant - Medical in Edmond, OK

Q: What is Scott Nicholson's NPI number?

The NPI number for Scott Nicholson is 1033562673. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Q: What is Scott Nicholson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Scott Nicholson was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 19, 2016PECOS EnrolledAccepts Medicare Assignment

1 S BRYANT AVE, EDMOND, OK 73034(405) 341-6100 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2020, Oct 12, 2018 (2 updates tracked since 2018).

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About Scott Nicholson P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT NICHOLSON P.A. (NPI 1033562673) is an individual medical provider in Edmond, Oklahoma, licensed in Oklahoma (2676) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Stillwater Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033562673

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameSCOTT NICHOLSONCredential: P.A.

Location Address1 S BRYANT AVEEdmond, OK 73034-6309

Mailing Address7477 E 46th PlTulsa, OK 74145-6305 · (918) 384-0002 · Fax (918) 384-0004

Phone(405) 341-6100

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 19, 2016

Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration

NPPES CertifiedMarch 17, 2020

✔ NPI 1033562673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OK · 2676

Also ListedPhysician AssistantTaxonomy 363A00000X · License 2676 (OK)

1 S BRYANT AVE, Edmond, OK 73034

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health, UnitedHealthcare.Insurance ›

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

Scott Nicholson P.a. 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.

PECOS PAC ID3971883216

PECOS Enrollment IDI20161203000108

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370049

Location1323 West 6th StreetStillwater, OK 74076 · Payne County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

47%32 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

QUESTCARE EM OKLAHOMA LLC

Emergency Medicine