Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EPIPHANY LOTOTELE NICK MD
NPI 1083319982
Family Medicine in Tacoma, WA

Q: What is Epiphany Nick's NPI number?

The NPI number for Epiphany Nick is 1083319982. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Epiphany Nick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Epiphany Nick was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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 April 03, 2023PECOS Enrolled

209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(800) 858-9996(253) 596-3301 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Apr 3, 2023 (2 updates tracked since 2023).

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About Dr. Epiphany Lototele Nick Md NPPES

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

DR. EPIPHANY LOTOTELE NICK MD (NPI 1083319982) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (MD.MD.70063639) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083319982

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. EPIPHANY LOTOTELE NICKCredential: MD

Location Address209 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4267

Mailing Address209 Martin Luther King Jr WayTacoma, WA 98405-4267 · (800) 858-9996 · Fax (253) 596-3301

Phone(800) 858-9996

Fax(253) 596-3301

Sole ProprietorNo

Enumeration DateApril 3, 2023

Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration

NPPES CertifiedOctober 8, 2026

✔ NPI 1083319982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD.MD.70063639

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Epiphany Lototele Nick Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

DR. KRISTINA SIU PETSAS M.D.

Family Medicine