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

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
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: August 02, 2026.

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

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, maintains 2 additional practice locations, and is a graduate of Other (2007).

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
Medical School CMSOtherGraduated 2007
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
Open in Google Maps ↗

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 Molina Healthcare, 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

Mr. Nicholas Alexander Pukish Jr. 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.

PECOS PAC ID4486678885
PECOS Enrollment IDI20250918003848
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Pukish accept?

Health plans from Molina Healthcare and UnitedHealthcare 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 18 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.