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NICOLE DUTZMAN PA-C
NPI 1104704196
Physician Assistant - Medical in Exton, PA

Active since August 26, 2025PECOS Enrolled
780 W LINCOLN HWY, EXTON, PA 19341(484) 206-4447 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Dutzman Pa-c NPPES

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

NICOLE DUTZMAN PA-C (NPI 1104704196) is an individual medical provider in Exton, Pennsylvania, licensed in Pennsylvania (MA066861) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2025).

NPPES Registry Identity

NPI1104704196
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE DUTZMANCredential: PA-C
Location Address780 W LINCOLN HWYExton, PA 19341-2547
Mailing Address766 W Lincoln HwyExton, PA 19341-2547
Phone(484) 206-4447
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2025
Enumeration DateAugust 26, 2025
Last NPPES UpdateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1104704196 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
License✔ Licensed in PA · MA066861
780 W LINCOLN HWY, Exton, PA 19341
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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)

Nicole Dutzman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264929470
PECOS Enrollment IDI20251013001849
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.

Other Providers at the Same Location NPPES 11

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

DR. KELLY MARTENS MURRAY MD
Orthopaedic Surgery
780 W LINCOLN HWY, THE COMMONS AT OAKLANDS
EXTON, PA 19341
Chester County (610) 873-1188
STEPHEN CLEMENT PT, DPT
Physical Therapist
780 W LINCOLN HWY
EXTON, PA 19341
Chester County (610) 873-4856
GABRIELLA B CARACCIOLO DPT
Physical Therapist
780 W LINCOLN HWY
EXTON, PA 19341
Chester County (610) 873-4856
MRS. CAROLINA MESA DEROSE PT
Physical Therapist (Orthopedic)
780 W LINCOLN HWY
EXTON, PA 19341
Chester County (610) 873-4856
ERIN M ROBERTS
Physical Therapist
780 W LINCOLN HWY
EXTON, PA 19341
Chester County (610) 873-4856
MS. LISA ANGIOLI PT
Physical Therapist (Orthopedic)
780 W LINCOLN HWY
EXTON, PA 19341
Chester County (610) 873-4856
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
Durable Medical Equipment & Medical Supplies
780 W LINCOLN HWY, THE COMMONS AT OAKLANDS
EXTON, PA 19341
Chester County (610) 873-1188
ANDREW STEVEN FRANKEL M.D.
Orthopaedic Surgery
780 W LINCOLN HWY, THE COMMONS AT OAKLANDS
EXTON, PA 19341
Chester County (610) 873-1188

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 Dutzman's NPI number?

The NPI number for Nicole Dutzman is 1104704196. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Nicole Dutzman located?

Nicole Dutzman practices at 780 W Lincoln Hwy, Exton, PA 19341. The listed phone number is (484) 206-4447.

What is Nicole Dutzman's specialty?

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

Is Nicole Dutzman enrolled in Medicare?

Yes. Nicole Dutzman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Dutzman was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.