KYRIE JAE NICOLDS PA-C
NPI 1598446437
Physician Assistant in Phoenix, AZ
About Kyrie Jae Nicolds Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYRIE JAE NICOLDS PA-C (NPI 1598446437) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (11229) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Other Names 1
Secondary Practice Locations 6
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
Kyrie Jae Nicolds Pa-c 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 85050 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 2
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 Kyrie Nicolds's NPI number?
The NPI number for Kyrie Nicolds is 1598446437. It was assigned to this individual provider in the NPPES registry on July 25, 2023. The provider is also known as Kyrie Jae Sutherland.
Where is Kyrie Nicolds located?
Kyrie Nicolds practices at 26224 N Tatum Blvd Ste 15A, Phoenix, AZ 85050. The listed phone number is (486) 663-9632.
What is Kyrie Nicolds's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kyrie Nicolds enrolled in Medicare?
Yes. Kyrie Nicolds 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 Kyrie Nicolds accept?
Health plans from Ambetter from Arizona Complete Health list Kyrie Nicolds 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 Kyrie Nicolds was last updated on October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
