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KATHERINE M NICHOLS PA
NPI 1114202108
Physician Assistant in Johnson City, NY

Active since October 21, 2011PECOS EnrolledAccepts Medicare Assignment
88.52/100
CMS Quality Rating
33-57 HARRISON ST, JOHNSON CITY, NY 13790(607) 763-5494(607) 763-5116 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2018, May 15, 2017 (2 updates tracked since 2017).

About Katherine M Nichols Pa NPPES

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

KATHERINE M NICHOLS PA (NPI 1114202108) is an individual physician assistant in Johnson City, New York, licensed in New York (015153) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1114202108
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE M NICHOLSCredential: PA
Location Address33-57 HARRISON STJohnson City, NY 13790-2107
Mailing Address33 Lewis Rd, 2nd FlBinghamton, NY 13905 · (607) 770-0025 · Fax (607) 729-3982
Phone(607) 763-5494
Fax(607) 763-5116
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 21, 2011
Last NPPES UpdateOctober 26, 20212 updates tracked since enumeration
NPPES CertifiedOctober 26, 2021
✔ NPI 1114202108 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 NY · 015153
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.
33-57 HARRISON ST, Johnson City, NY 13790
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Other Names 1

Former Name (1)Katherine Rivard Pa

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

Katherine M Nichols Pa 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 ID7618143108
PECOS Enrollment IDI20120105000033
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services27 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Promoting Interoperability100
Improvement Activities40
Cost76.76

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.

TASNIMA RIA ELAHI MD
Hospitalist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6622
ZACHARY RONALD SECOR OTR/L
Occupational Therapist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6000
CAMRYN PERRI
Physician Assistant
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6412
DR. VINCENT MONTONE MD
Radiology (Diagnostic Radiology)
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6104
DR. GANG YUE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6151
JOHN PETER ZEVAN DO
Emergency Medicine
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6611
ASHLEY N HAMMOND MS, FNP
Nurse Practitioner (Family)
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6622
PARVEZ JAFRI M.D.
Hospitalist
33-57 HARRISON ST
JOHNSON CITY, NY 13790
Broome County (607) 763-6622

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 Katherine Nichols's NPI number?

The NPI number for Katherine Nichols is 1114202108. It was assigned to this individual provider in the NPPES registry on October 21, 2011. The provider is also known as Katherine Rivard PA.

Where is Katherine Nichols located?

Katherine Nichols practices at 33-57 Harrison St, Johnson City, NY 13790. The listed phone number is (607) 763-5494.

What is Katherine Nichols's specialty?

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

Is Katherine Nichols enrolled in Medicare?

Yes. Katherine Nichols 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 Katherine Nichols affiliated with any hospitals?

According to CMS data, Katherine Nichols is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Katherine Nichols was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.