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MR. JOHN WILLIAM NICKENS PA-C
NPI 1356998926
Physician Assistant in Pearl Harbor, HI

Active since August 20, 2019PECOS Enrolled
480 CENTRAL AVE, PEARL HARBOR, HI 96860(808) 366-2482 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2026, Jul 21, 2022, Jan 20, 2021 and 1 more (4 updates tracked since 2019).

About Mr. John William Nickens Pa-c NPPES

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

MR. JOHN WILLIAM NICKENS PA-C (NPI 1356998926) is an individual physician assistant in Pearl Harbor, Hawaii and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356998926
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN WILLIAM NICKENSCredential: PA-C
Location Address480 CENTRAL AVEPearl Harbor, HI 96860-4908
Mailing Address480 Central AvePearl Harbor, HI 96860-4908 · (808) 474-4242 · Fax (808) 471-0918
Phone(808) 366-2482
Sole ProprietorYes
Enumeration DateAugust 20, 2019
Last NPPES UpdateMarch 18, 20264 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1356998926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
480 CENTRAL AVE, Pearl Harbor, HI 96860
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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)

Mr. John William Nickens Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96860 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

DR. JOHN KNOREK PH.D.
Psychologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. DENNIS T SEKINE MS, MPH, CCC-A
Audiologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-0628
MR. KEVIN THOMAS COHN HM2/P.T. TEHCNICIAN
Technician
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 257-8708
CHRISTOPHER G PELLEJERA O.D.
Optometrist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4248
MR. DEMETRIUS PRUITT APRN
Nurse Practitioner (Family)
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 477-2600
TAYLOR ANNE STUBBLEFIELD IDC
Military Health Care Provider (Independent Duty Corpsman)
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (951) 442-2444
BENJAMIN CLARKSON JAMES DPT
Physical Therapist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. JUDE COLEMAN PHARMACIST
Pharmacist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 473-1880

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 John Nickens's NPI number?

The NPI number for John Nickens is 1356998926. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is John Nickens located?

John Nickens practices at 480 Central Ave, Pearl Harbor, HI 96860. The listed phone number is (808) 366-2482.

What is John Nickens's specialty?

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

Is John Nickens enrolled in Medicare?

Yes. John Nickens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Nickens was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.