NICOLE M NEWHAUSER PA
NPI 1124190004
Physician Assistant - Surgical in San Rafael, CA

Q: What is Nicole Newhauser's NPI number?

The NPI number for Nicole Newhauser is 1124190004. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Q: What is Nicole Newhauser's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Newhauser was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment

4000 CIVIC CENTER DR STE 209, SAN RAFAEL, CA 94903(415) 925-8963 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole M Newhauser Pa NPPES

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

NICOLE M NEWHAUSER PA (NPI 1124190004) is an individual surgical provider in San Rafael, California, licensed in California (PA16057) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenbrae, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1124190004

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameNICOLE M NEWHAUSERCredential: PA

Location Address4000 CIVIC CENTER DR STE 209San Rafael, CA 94903-5233

Mailing Address2100 Powell St, Suite 900Emeryville, CA 94608-1826 · (510) 350-2673

Phone(415) 925-8963

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateNovember 15, 2006

Last NPPES UpdateOctober 3, 2023

NPPES CertifiedOctober 3, 2023

✔ NPI 1124190004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA16057

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA16057 (CA)

4000 CIVIC CENTER DR STE 209, San Rafael, CA 94903

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Secondary Practice Location 1

Location 1250 Bon Air RdGreenbrae, CA 94904-1702 · Phone (415) 925-7200

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 M Newhauser 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 ID4486678182

PECOS Enrollment IDI20060120000591

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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

424 services70 patients

Injection, ropivacaine hydrochloride, 1 mg J2795

Ropivacaine hydrochloride is a local anesthetic used to numb specific areas of your body during minor surgical procedures or to relieve pain. The medicine is injected into the area requiring anesthesia.

305 services22 patients

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.

140 services96 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

129 services91 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.

77 services72 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

73 services71 patients

Other Providers at the Same Location NPPES 9

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

ERIC BAVA M.D.

Orthopaedic Surgery