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

NPI Status: Active since May 06, 2006

Contact Information

21401 ALLEN RD
WOODHAVEN, MI
ZIP 48183
Phone: (734) 675-0835
Fax: (734) 675-0873

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About LESLIE NICHOLS

Leslie Nichols is a provider established in Woodhaven, Michigan and her medical specialization is Physician Assistant with a focus in surgical . The healthcare provider is registered in the NPI registry with number 1568411841 assigned on May 2006. The practitioner's primary taxonomy code is 363AS0400X with license number 5601006720 (MI). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1568411841
Provider Name
LESLIE A NICHOLS PA
Gender
Female
Entity Type
Individual
Location Address
21401 ALLEN RD WOODHAVEN, MI 48183
Location Phone
(734) 675-0835
Location Fax
(734) 675-0873
Mailing Address
336 29TH ST ASHLAND, KY 41101
Mailing Phone
(606) 324-4404
Mailing Fax
(734) 675-0873
Is Sole Proprietor?
No
Enumeration Date
05-06-2006
Last Update Date
08-05-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601006720
License State
MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

PA653 (KY)

PECOS Enrollment and Medicare Participation Status

Leslie Nichols is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568411841
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512881288
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 8 + 1 + 2 + 8 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1568411841 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083778690MR. SAMI ADNAN ABBASI DO
Individual
Dermatology21401 ALLEN RD
WOODHAVEN, MI 48183
(734) 675-0835

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568411841, enumerated in the NPI registry as an "individual" on May 06, 2006

The provider is located at 21401 Allen Rd Woodhaven, Mi 48183 and the phone number is (734) 675-0835

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on May 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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