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LESLIE A NICHOLS PA
NPI 1568411841
Physician Assistant - Surgical in Woodhaven, MI

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment
21401 ALLEN RD, WOODHAVEN, MI 48183(734) 675-0835(734) 675-0873 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leslie A Nichols Pa NPPES

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

LESLIE A NICHOLS PA (NPI 1568411841) is an individual surgical provider in Woodhaven, Michigan, licensed in Michigan (5601006720) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2001).

NPPES Registry Identity

NPI1568411841
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLESLIE A NICHOLSCredential: PA
Location Address21401 ALLEN RDWoodhaven, MI 48183-1665
Mailing Address336 29th StAshland, KY 41101-1900 · (606) 324-4404 · Fax (606) 325-6822
Phone(734) 675-0835
Fax(734) 675-0873
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2001
Enumeration DateMay 6, 2006
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1568411841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in MI · 5601006720✔ Licensed in KY · PA653
21401 ALLEN RD, Woodhaven, MI 48183
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Leslie A Nichols 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 ID4981685856
PECOS Enrollment IDI20140819001267
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 2

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.

Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Other Providers at the Same Location NPPES 4

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

MR. SAMI ADNAN ABBASI DO
Dermatology
21401 ALLEN RD
WOODHAVEN, MI 48183
Wayne County (734) 675-0835
HALEY FOLLBAUM
Physician Assistant
21401 ALLEN RD
WOODHAVEN, MI 48183
Wayne County (734) 675-0835
OLIVIA RAFFAELLA-ANNA KEENAN P.A.-C
Physician Assistant (Medical)
21401 ALLEN RD
WOODHAVEN, MI 48183
Wayne County (734) 675-0835
LAUREN MARIE BULLARD PA-C
Physician Assistant (Medical)
21401 ALLEN RD
WOODHAVEN, MI 48183
Wayne County (734) 675-0835

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 Leslie Nichols's NPI number?

The NPI number for Leslie Nichols is 1568411841. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Leslie Nichols located?

Leslie Nichols practices at 21401 Allen Rd, Woodhaven, MI 48183. The listed phone number is (734) 675-0835.

What is Leslie Nichols's specialty?

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

Is Leslie Nichols enrolled in Medicare?

Yes. Leslie Nichols 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 Leslie Nichols accept?

Health plans from Priority Health list Leslie Nichols 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 Leslie Nichols was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.