JOSHUA NICKERSON DO
NPI 1386091130
Psychiatry & Neurology - Psychiatry in Philadelphia, PA
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 and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Joshua Nickerson Do 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.
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.
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Joshua Nickerson, DO · NPI 1386091130
Psychiatry physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 23, 2016.
## Identity
- **NPI:** 1386091130 (Entity type: Individual)
- **Enumerated:** May 23, 2016
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** OS019814 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4641 E ROOSEVELT BLVD, Philadelphia, PA 19124-2343
- **Phone:** (800) 889-0548
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 2016
## Record status
- **NPPES last updated:** November 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386091130) · Data from the CMS NPPES public registry.