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NYCOLLE SEXTON PA-C
NPI 1174940456
Physician Assistant in Springfield, MO

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
1965 S FREMONT AVE, STE 100, SPRINGFIELD, MO 65804(417) 820-3800 Get Directions Write a Review

NPPES record last updated: November 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nycolle Sexton Pa-c NPPES

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

NYCOLLE SEXTON PA-C (NPI 1174940456) is an individual physician assistant in Springfield, Missouri, licensed in Missouri (2014008954) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174940456
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNYCOLLE SEXTONCredential: PA-C
Location Address1965 S FREMONT AVE, STE 100Springfield, MO 65804-2201
Mailing AddressPo Box 505164Saint Louis, MO 63150-5164 · (417) 829-4620
Phone(417) 820-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 25, 2014
Last NPPES UpdateNovember 23, 2015
✔ NPI 1174940456 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 MO · 2014008954
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.
1965 S FREMONT AVE, Springfield, MO 65804
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Other Names 1

Former Name (1)Nycolle King Pa-c

Other Identifiers 2

Medicare PIN970613270MO
Medicaid1174940456MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Nycolle Sexton 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 ID446474662
PECOS Enrollment IDI20140610000310
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 6

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 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.
25 services21 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
19 services19 patients
Insertion of abdominal cavity tube using an endoscope 49324
This procedure involves placing a tube into your abdominal cavity with the aid of an endoscope, a thin, flexible tube with a light and camera. It helps drain fluid or air, administer medication, or aid in diagnosis. It's done under sedation for comfort.
15 services14 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.
13 services13 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
12 services12 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

JENNIFER ANN DALE RPH
Pharmacist
1965 S FREMONT AVE, SUITE 140
SPRINGFIELD, MO 65804
Greene County (417) 820-3577
DR. ROBERT M CAVAGNOL MD
Surgery
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 820-3800
MATTHEW C LUNDIEN MD
Pediatrics (Pediatric Pulmonology)
1965 S FREMONT AVE, STE 220
SPRINGFIELD, MO 65804
Greene County (417) 820-9055
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Durable Medical Equipment & Medical Supplies
1965 S FREMONT AVE, SUITE 130
SPRINGFIELD, MO 65804
Greene County (417) 820-5150
DONNA MARIE IRISH APRN-BC, GNP
Nurse Practitioner (Gerontology)
1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804
Greene County (417) 820-2936
DR. MARK J. WALTERSKIRCHEN M.D.
Urology
1965 S FREMONT AVE, SUITE 370
SPRINGFIELD, MO 65804
Greene County (417) 820-0300
CHRISTOPHER A CHAFFIN PA
Physician Assistant
1965 S FREMONT AVE, SUITE 100
SPRINGFIELD, MO 65804
Greene County (417) 820-3800
DR. MARIA C. DELA ROSA MD
Internal Medicine (Geriatric Medicine)
1965 S FREMONT AVE, SUITE 300
SPRINGFIELD, MO 65804
Greene County (417) 820-3760

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 Nycolle Sexton's NPI number?

The NPI number for Nycolle Sexton is 1174940456. It was assigned to this individual provider in the NPPES registry on March 25, 2014. The provider is also known as Nycolle King Pa-C.

Where is Nycolle Sexton located?

Nycolle Sexton practices at 1965 S Fremont Ave Ste 100, Springfield, MO 65804. The listed phone number is (417) 820-3800.

What is Nycolle Sexton's specialty?

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

Is Nycolle Sexton enrolled in Medicare?

Yes. Nycolle Sexton 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.

What insurance does Nycolle Sexton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Nycolle Sexton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nycolle Sexton affiliated with any hospitals?

According to CMS data, Nycolle Sexton is affiliated with Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Nycolle Sexton was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.