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NICOLE PETROSKY PA-C
NPI 1659256774
Physician Assistant in Corte Madera, CA

Active since August 07, 2025
1716 REDWOOD HWY # A025, CORTE MADERA, CA 94925(415) 532-3637 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Petrosky Pa-c NPPES

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

NICOLE PETROSKY PA-C (NPI 1659256774) is an individual physician assistant in Corte Madera, California, licensed in California (54320) and active in the NPI registry since August 2025. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659256774
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE PETROSKYCredential: PA-C
Location Address1716 REDWOOD HWY # A025Corte Madera, CA 94925-1249
Mailing Address4 Canterbury CtPetaluma, CA 94954-4675 · (856) 776-9360
Phone(415) 532-3637
Sole ProprietorNo
Enumeration DateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1659256774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 54320
Definition
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.
1716 REDWOOD HWY # A025, Corte Madera, CA 94925
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Other Names 1

Professional Name (2)Nicole Palmer Pa-c

Secondary Practice Locations 2

Location 14 Canterbury CtPetaluma, CA 94954-4675 · Phone (856) 776-9360
Location 2337 Green StSan Francisco, CA 94133-4103 · Phone (856) 776-9360

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 Nicole Petrosky's NPI number?

The NPI number for Nicole Petrosky is 1659256774. It was assigned to this individual provider in the NPPES registry on August 7, 2025. The provider is also known as Nicole Palmer Pa-C.

Where is Nicole Petrosky located?

Nicole Petrosky practices at 1716 Redwood Hwy # A025, Corte Madera, CA 94925. The listed phone number is (415) 532-3637.

What is Nicole Petrosky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nicole Petrosky was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.