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NICOLE THOMAS PA-C
NPI 1104667393
Physician Assistant in Havertown, PA

Active since June 03, 2024PECOS EnrolledAccepts Medicare Assignment
301 W CHESTER PIKE STE 101, HAVERTOWN, PA 19083(610) 446-6900 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Jun 3, 2024 (2 updates tracked since 2024).

About Nicole Thomas Pa-c NPPES

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

NICOLE THOMAS PA-C (NPI 1104667393) is an individual physician assistant in Havertown, Pennsylvania, licensed in Pennsylvania (MA065449) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104667393
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE THOMASCredential: PA-C
Location Address301 W CHESTER PIKE STE 101Havertown, PA 19083-4530
Mailing AddressPo Box 822336Philadelphia, PA 19182-2336 · (610) 446-6900
Phone(610) 446-6900
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 3, 2024
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1104667393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA065449
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.
301 W CHESTER PIKE STE 101, Havertown, PA 19083
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Other Names 1

Former Name (1)Nicole Chickara Pa-c

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

Nicole Thomas 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 ID7113462409
PECOS Enrollment IDI20240710005265
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 4

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.
68 services51 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
36 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19083 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH KOCH
Speech-Language Pathologist
301 W CHESTER PIKE STE 101
HAVERTOWN, PA 19083
Delaware County (610) 446-6900
EVAN ANTHONY JONES MD
Otolaryngology
301 W CHESTER PIKE STE 101
HAVERTOWN, PA 19083
Delaware County (484) 282-2930
DR. HAYLEY ANNA MORGAN AUD
Audiologist
301 W CHESTER PIKE STE 101
HAVERTOWN, PA 19083
Delaware County (610) 446-6900
HELEN JOHANNA LESSER DO
Otolaryngology
301 W CHESTER PIKE STE 101
HAVERTOWN, PA 19083
Delaware County (601) 446-6900

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 Nicole Thomas's NPI number?

The NPI number for Nicole Thomas is 1104667393. It was assigned to this individual provider in the NPPES registry on June 3, 2024. The provider is also known as Nicole Chickara Pa-C.

Where is Nicole Thomas located?

Nicole Thomas practices at 301 W Chester Pike Ste 101, Havertown, PA 19083. The listed phone number is (610) 446-6900.

What is Nicole Thomas's specialty?

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

Is Nicole Thomas enrolled in Medicare?

Yes. Nicole Thomas 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 Nicole Thomas affiliated with any hospitals?

According to CMS data, Nicole Thomas is affiliated with Bryn Mawr Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Nicole Thomas was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.