DAVID WILLIAM NICKELS
NPI 1083345607
Physician Assistant in Syracuse, NY

Active since June 23, 2022PECOS EnrolledAccepts Medicare Assignment
1419 SALT SPRINGS RD, SYRACUSE, NY 13214(315) 445-4100 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David William Nickels NPPES

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

DAVID WILLIAM NICKELS (NPI 1083345607) is an individual physician assistant in Syracuse, New York, licensed in New York (030786) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083345607
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID WILLIAM NICKELS
Location Address1419 SALT SPRINGS RDSyracuse, NY 13214-1301
Mailing Address8249 Justin DrClay, NY 13041-8979 · (315) 447-6461
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 23, 2022
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
NPI 1083345607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 030786
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1419 SALT SPRINGS RD, Syracuse, NY 13214

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

David William Nickels 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 ID8729437306
PECOS Enrollment IDI20231207002034
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services71 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services28 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
33 services27 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
30 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13214 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Physician Assistant
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Physician Assistant
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Physician Assistant
1419 SALT SPRINGS RD
SYRACUSE, NY 13214

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 David Nickels's NPI number?

The NPI number for David Nickels is 1083345607. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is David Nickels located?

David Nickels practices at 1419 Salt Springs Rd, Syracuse, NY 13214. The listed phone number is (315) 445-4100.

What is David Nickels's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Nickels enrolled in Medicare?

Yes. David Nickels 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.

Is David Nickels affiliated with any hospitals?

According to CMS data, David Nickels is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for David Nickels was last updated on January 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.