MRS. CHANDA LEA NICOSIA CSFA/LSA
NPI 1316114655
Physician Assistant - Surgical in Tyler, TX

Q: What is Chanda Nicosia's NPI number?

The NPI number for Chanda Nicosia is 1316114655. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Q: What is Chanda Nicosia'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 Chanda Nicosia was last updated on November 18, 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.

Active since May 15, 2008

13674 ARIZONA DR, TYLER, TX 75707(903) 216-3561(903) 566-6816 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Mrs. Chanda Lea Nicosia Csfa/lsa NPPES

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

MRS. CHANDA LEA NICOSIA CSFA/LSA (NPI 1316114655) is an individual surgical provider in Tyler, Texas and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1316114655

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. CHANDA LEA NICOSIACredential: CSFA/LSA

Location Address13674 ARIZONA DRTyler, TX 75707-6806

Mailing Address13674 Arizona DrTyler, TX 75707-6806 · (903) 216-3561 · Fax (903) 566-6816

Phone(903) 216-3561

Fax(903) 566-6816

Sole ProprietorYes

Enumeration DateMay 15, 2008

Last NPPES UpdateNovember 18, 2015

✔ NPI 1316114655 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

Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License SA00471 (TX)

13674 ARIZONA DR, Tyler, TX 75707

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

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

NICOSIA ENTERPRISES LLC

Physician Assistant (Surgical)

13674 ARIZONA DR
TYLER, TX 75707

Smith County (903) 566-6816

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 Chanda Nicosia's NPI number?

The NPI number for Chanda Nicosia is 1316114655. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Chanda Nicosia located?

Chanda Nicosia practices at 13674 Arizona Dr, Tyler, TX 75707. The listed phone number is (903) 216-3561.

What is Chanda Nicosia's specialty?

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

What insurance does Chanda Nicosia accept?

Health plans from Blue Cross and Blue Shield of Texas list Chanda Nicosia 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.

When was this NPI record last updated?

The NPPES record for Chanda Nicosia was last updated on November 18, 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.