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MR. NICHOLAS ARCHER M.S.N.
NPI 1053861583
Nurse Practitioner - Family in Glendale, AZ

Active since October 07, 2016PECOS Enrolled
18205 N 51ST AVE, SUITE 129, GLENDALE, AZ 85308(623) 398-8554(623) 398-8278 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Nicholas Archer M.s.n. NPPES

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

MR. NICHOLAS ARCHER M.S.N. (NPI 1053861583) is an individual family provider in Glendale, Arizona, licensed in Arizona (RN201497) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053861583
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. NICHOLAS ARCHERCredential: M.S.N.
Location Address18205 N 51ST AVE, SUITE 129Glendale, AZ 85308-1490
Mailing Address18205 N 51st Ave, Suite 129Glendale, AZ 85308-1490 · (623) 398-8554 · Fax (623) 398-8278
Phone(623) 398-8554
Fax(623) 398-8278
Sole ProprietorNo
Enumeration DateOctober 7, 2016
✔ NPI 1053861583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · RN201497
18205 N 51ST AVE, Glendale, AZ 85308
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nicholas Archer M.s.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Archer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scottsdale Internal Medicine PLLC
12 mi
Adult Health
4643 N 12TH ST STE 101
Phoenix, AZ 85014
  • Reassigned Medicare billing, Arizona enrollment
  • 5 clinicians in this Medicare group
NPI 1790050409 (602) 812-3789

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JACQUELINE M SOLOMON D O P C
Obstetrics & Gynecology
18205 N 51ST AVE, SUITE 133
GLENDALE, AZ 85308
Maricopa County (623) 561-1151
ARROWHEAD PLAZA DENTAL GROUP PLC
Dentist (General Practice)
18205 N 51ST AVE, SUITE 101
GLENDALE, AZ 85308
Maricopa County (602) 993-4200
JOHN STROBL D O PC
Obstetrics & Gynecology
18205 N 51ST AVE, SUITE 133
GLENDALE, AZ 85308
Maricopa County (623) 561-1151
DR. JACQUELINE M SOLOMON DO
Obstetrics & Gynecology
18205 N 51ST AVE, STE 133
GLENDALE, AZ 85308
Maricopa County (623) 561-1151
SHELBY WILSON PA-C
Physician Assistant
18205 N 51ST AVE, SUITE 129
GLENDALE, AZ 85308
Maricopa County (623) 398-8554
WALTER DARREL HAGGARD D.C.
Chiropractor
18205 N 51ST AVE, SUITE 147
GLENDALE, AZ 85308
Maricopa County (602) 997-7531
DR. JOHN PHILIP DAGIRMANJIAN M.D.
Anesthesiology
18205 N 51ST AVE, SUITE 109
GLENDALE, AZ 85308
Maricopa County (602) 547-1400
MR. ADRIAN E PULKRABEK DDS
Dentist
18205 N 51ST AVE, SUITE 137
GLENDALE, AZ 85308
Maricopa County (602) 866-9825

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 Archer's NPI number?

The NPI number for Nicholas Archer is 1053861583. It was assigned to this individual provider in the NPPES registry on October 7, 2016.

Where is Nicholas Archer located?

Nicholas Archer practices at 18205 N 51st Ave Suite 129, Glendale, AZ 85308. The listed phone number is (623) 398-8554.

What is Nicholas Archer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicholas Archer enrolled in Medicare?

Yes. Nicholas Archer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Archer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Archer reassigns Medicare benefits to Scottsdale Internal Medicine PLLC (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Archer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Archer was last updated on October 7, 2016. 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.