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KATIE ELIZABETH NICHOLS PA-C
NPI 1700447141
Physician Assistant - Surgical in Nampa, ID

Active since June 26, 2019PECOS Enrolled
4400 E FLAMINGO AVE STE 200, NAMPA, ID 83687(208) 302-2700(208) 367-2725 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2020, Oct 10, 2019 (2 updates tracked since 2019).

About Katie Elizabeth Nichols Pa-c NPPES

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

KATIE ELIZABETH NICHOLS PA-C (NPI 1700447141) is an individual surgical provider in Nampa, Idaho, licensed in Idaho (PA-1889) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1700447141
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATIE ELIZABETH NICHOLSCredential: PA-C
Location Address4400 E FLAMINGO AVE STE 200Nampa, ID 83687-9203
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 302-2700
Fax(208) 367-2725
Sole ProprietorNo
Enumeration DateJune 26, 2019
Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1700447141 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 ID · PA-1889✔ Licensed in FL · PA9112309
4400 E FLAMINGO AVE STE 200, Nampa, ID 83687
Open in Google Maps ↗

Secondary Practice Location 1

Location 11072 N Liberty St Ste 201Boise, ID 83704 · Phone (208) 302-2400 · Fax (208) 302-2455

Other Identifiers 1

Medicaid103724800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Elizabeth Nichols Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
50 services25 patients

Other Providers at the Same Location NPPES 12

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

WESLEY DAVID PIDCOCK DO
Internal Medicine (Pulmonary Disease)
4400 E FLAMINGO AVE STE 200
NAMPA, ID 83687
Canyon County (208) 302-2100
DR. FORREST R FREDLINE DO
Surgery
4400 E FLAMINGO AVE STE 200
NAMPA, ID 83687
Canyon County (208) 302-2700
MICHELLE VANHOOF
Physician Assistant
4400 E FLAMINGO AVE STE 200
NAMPA, ID 83687
Canyon County (208) 302-2700
CHANCE MCCALL TURNER PA
Physician Assistant
4400 E FLAMINGO AVE STE 200
NAMPA, ID 83687
Canyon County (208) 302-2700
SCOTT ROSE PA-C
Physician Assistant
4400 E FLAMINGO AVE STE 200
NAMPA, ID 83687
Canyon County (208) 302-2700
AARON FRANKLIN NEWTON D.O.
Orthopaedic Surgery (Sports Medicine)
4400 E FLAMINGO AVE STE 200
NAMPA, ID 83687
Canyon County (208) 302-2700
MICHAEL MCCOMB PA
Physician Assistant (Surgical)
4400 E FLAMINGO AVE STE 200, STE 200
NAMPA, ID 83687
Canyon County (208) 302-2700
MCKYNNA TREINEN
Physician Assistant
4400 E FLAMINGO AVE STE 200
NAMPA, ID 83687
Canyon County (208) 302-2700

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 Katie Nichols's NPI number?

The NPI number for Katie Nichols is 1700447141. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Katie Nichols located?

Katie Nichols practices at 4400 E Flamingo Ave Ste 200, Nampa, ID 83687. The listed phone number is (208) 302-2700.

What is Katie Nichols's specialty?

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

Is Katie Nichols enrolled in Medicare?

Yes. Katie Nichols is registered in the Medicare PECOS enrollment system.

What insurance does Katie Nichols accept?

Health plans from Providence Health Plan list Katie 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 Katie Nichols was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.