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AMORET E. NICKLISCH PA-C
NPI 1699972158
Physician Assistant - Medical in Davis, CA

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
2020 SUTTER PL STE 101, DAVIS, CA 95616(530) 750-5900(530) 750-5891 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 27, 2019, Jul 12, 2016, May 11, 2016 (3 updates tracked since 2016).

About Amoret E. Nicklisch Pa-c NPPES

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

AMORET E. NICKLISCH PA-C (NPI 1699972158) is an individual medical provider in Davis, California, licensed in California (PA19105) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1699972158
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMORET E. NICKLISCHCredential: PA-C
Location Address2020 SUTTER PL STE 101Davis, CA 95616
Mailing Address10470 Old Placerville Rd Ste 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(530) 750-5900
Fax(530) 750-5891
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 28, 2007
Last NPPES UpdateFebruary 27, 20193 updates tracked since enumeration
✔ NPI 1699972158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA19105
Also ListedPhysician AssistantTaxonomy 363A00000X · License 19105 (CA)
2020 SUTTER PL STE 101, Davis, CA 95616
Open in Google Maps ↗

Secondary Practice Location 1

Location 112395 El Camino RealSan Diego, CA 92130-3082 · Phone (858) 793-2727

Other Identifiers 1

Other19105CA · Medical Board Of Pa

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

Amoret E. Nicklisch 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.

PECOS PAC ID1052403946
PECOS Enrollment IDI20070823000317
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 6

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.

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.
95 services90 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.
64 services64 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services20 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.
14 services14 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
13 services13 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
12 services12 patients

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.

DR. RICHARD R. BLOHM M.D.
Internal Medicine
2020 SUTTER PL STE 101
DAVIS, CA 95616
Yolo County (530) 750-5830
ELYZA GENILO DO
Emergency Medicine
2020 SUTTER PL STE 101
DAVIS, CA 95616
Yolo County (530) 750-5830

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 Amoret Nicklisch's NPI number?

The NPI number for Amoret Nicklisch is 1699972158. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Amoret Nicklisch located?

Amoret Nicklisch practices at 2020 Sutter Pl Ste 101, Davis, CA 95616. The listed phone number is (530) 750-5900.

What is Amoret Nicklisch's specialty?

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

Is Amoret Nicklisch enrolled in Medicare?

Yes. Amoret Nicklisch 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.

When was this NPI record last updated?

The NPPES record for Amoret Nicklisch was last updated on February 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.