MR. NICHOLAS ALEXANDER PUKISH JR. PA-C
NPI 1073539771
Physician Assistant - Medical in Biloxi, MS

Q: What is Nicholas Pukish's NPI number?

The NPI number for Nicholas Pukish is 1073539771. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Nicholas Pukish'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 Nicholas Pukish was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 14, 2006PECOS Enrolled

189 WALMART LN STE B, BILOXI, MS 39531(601) 368-6254 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2020, Apr 18, 2017 (2 updates tracked since 2017).

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About Mr. Nicholas Alexander Pukish Jr. Pa-c NPPES

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

MR. NICHOLAS ALEXANDER PUKISH JR. PA-C (NPI 1073539771) is an individual medical provider in Biloxi, Mississippi, licensed in Mississippi (PA00845) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073539771

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. NICHOLAS ALEXANDER PUKISH JR.Credential: PA-C

Location Address189 WALMART LN STE BBiloxi, MS 39531-4564

Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (323) 467-7119

Phone(601) 368-6254

Sole ProprietorNo

Enumeration DateJuly 14, 2006

Last NPPES UpdateJanuary 23, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2025

✔ NPI 1073539771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

Licenses✔ Licensed in MS · PA00845✔ Licensed in FL · PA 9100880

189 WALMART LN STE B, Biloxi, MS 39531

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Secondary Practice Locations 2

Location 11825 Hurlburt Rd Ste 14Fort Walton Beach, FL 32547-3737 · Phone (850) 610-8820 · Fax (844) 297-8690

Location 24300 Bayou Blvd Ste 17DPensacola, FL 32503-2671 · Phone (850) 476-3131

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nicholas Alexander Pukish Jr. Pa-c 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.

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 Pukish's NPI number?

The NPI number for Nicholas Pukish is 1073539771. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Nicholas Pukish located?

Nicholas Pukish practices at 189 Walmart Ln Ste B, Biloxi, MS 39531. The listed phone number is (601) 368-6254.

What is Nicholas Pukish's specialty?

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

Is Nicholas Pukish enrolled in Medicare?

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

What insurance does Nicholas Pukish accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 6 other insurers list Nicholas Pukish as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Pukish was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.