TIMOTHY ROBERT NICKOLAUS PA
NPI 1518250554
Physician Assistant - Medical in Richland, WA

Q: What is Timothy Nickolaus's NPI number?

The NPI number for Timothy Nickolaus is 1518250554. It was assigned to this individual provider in the NPPES registry on May 24, 2011.

Q: What is Timothy Nickolaus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Nickolaus was last updated on June 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2011PECOS EnrolledAccepts Medicare Assignment

83.05/100

CMS Quality Rating

875 SWIFT BLVD, RICHLAND, WA 99352(509) 946-1654(509) 943-5652 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 22, 2021, Jan 23, 2017, Jan 13, 2017 (3 updates tracked since 2017).

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About Timothy Robert Nickolaus Pa NPPES

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

TIMOTHY ROBERT NICKOLAUS PA (NPI 1518250554) is an individual medical provider in Richland, Washington, licensed in Washington (PA60217353) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1518250554

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameTIMOTHY ROBERT NICKOLAUSCredential: PA

Location Address875 SWIFT BLVDRichland, WA 99352-3592

Mailing Address560 Gage Blvd, Suite 203Richland, WA 99352 · (509) 942-3627 · Fax (509) 942-2268

Phone(509) 946-1654

Fax(509) 943-5652

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 24, 2011

Last NPPES UpdateJune 22, 20213 updates tracked since enumeration

NPPES CertifiedJune 22, 2021

✔ NPI 1518250554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WA · PA60217353

875 SWIFT BLVD, Richland, WA 99352

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Secondary Practice Location 1

Location 11351 Fowler StRichland, WA 99352-4714 · Phone (509) 946-1654 · Fax (509) 943-5652

Other Identifiers 1

Medicaid1518250554WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Timothy Robert Nickolaus Pa 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 ID4082891874

PECOS Enrollment IDI20110603000124

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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

908 services119 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.

259 services188 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

223 services124 patients

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.

98 services90 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

49 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

46 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500058

Location888 Swift BlvdRichland, WA 99352 · Benton County

Emergency services Birthing friendly

Prosser Memorial Hospital

Critical Access Hospitals · Prosser, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501312

Location723 Memorial StreetProsser, WA 99350 · Benton County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.47

Promoting Interoperability

100

Improvement Activities

Cost

67.03

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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.

WILLIAM H WEST MD

Family Medicine (Sports Medicine)