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JOSHUA NICKERSON DO
NPI 1386091130
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since May 23, 2016PECOS Enrolled
4641 E ROOSEVELT BLVD, PHILADELPHIA, PA 19124(800) 889-0548 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2025, Jul 17, 2024, Nov 25, 2020 and 1 more (4 updates tracked since 2016).

About Joshua Nickerson Do NPPES

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

JOSHUA NICKERSON DO (NPI 1386091130) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS019814) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1386091130
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOSHUA NICKERSONCredential: DO
Location Address4641 E ROOSEVELT BLVDPhiladelphia, PA 19124-2343
Mailing Address100 N Academy AveDanville, PA 17822-9800 · (570) 271-6211
Phone(800) 889-0548
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016
Enumeration DateMay 23, 2016
Last NPPES UpdateNovember 13, 20254 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1386091130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in PA · OS019814✔ Licensed in CO · DR.0068432✔ Licensed in IL · 036177295
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4641 E ROOSEVELT BLVD, Philadelphia, PA 19124
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12900 N Lake Shore DrChicago, IL 60657-5640 · Phone (773) 665-4988
Location 2781 Far Hills DrNew Freedom, PA 17349-8447 · Phone (717) 812-2560
Location 38931 Huron StThornton, CO 80260-6806 · Phone (303) 853-3500 · Fax (303) 853-3702
Location 4100 N Academy AveDanville, PA 17822-9800 · Phone (570) 271-6211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Nickerson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951726207
PECOS Enrollment IDI20251125001547, I20260416000784
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 19124 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 3

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

ANTONINA DEVERUE
Counselor (Professional)
4641 E ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2962
SUNDEEP SINGH
Nurse Practitioner (Family)
4641 E ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-4600
STEVENS WILLIAMS LMFT
Marriage & Family Therapist
4641 E ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (800) 889-0548

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 Joshua Nickerson's NPI number?

The NPI number for Joshua Nickerson is 1386091130. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Joshua Nickerson located?

Joshua Nickerson practices at 4641 E Roosevelt Blvd, Philadelphia, PA 19124. The listed phone number is (800) 889-0548.

What is Joshua Nickerson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Joshua Nickerson enrolled in Medicare?

Yes. Joshua Nickerson is registered in the Medicare PECOS enrollment system.

What insurance does Joshua Nickerson accept?

Health plans from CareSource list Joshua Nickerson 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 Joshua Nickerson was last updated on November 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.