KATIE GARDNER NICKERSON PA-C
NPI 1720358070
Physician Assistant - Medical in North Charleston, SC

Active since January 04, 2012PECOS Enrolled
8740 RIVERS AVE, NORTH CHARLESTON, SC 29406(843) 572-5990 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katie Gardner Nickerson Pa-c NPPES

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

KATIE GARDNER NICKERSON PA-C (NPI 1720358070) is an individual medical provider in North Charleston, South Carolina, licensed in South Carolina (2251) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720358070
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATIE GARDNER NICKERSONCredential: PA-C
Location Address8740 RIVERS AVENorth Charleston, SC 29406-9211
Mailing Address8740 Rivers AveNorth Charleston, SC 29406-9211 · (843) 572-5990
Sole ProprietorNo
Enumeration DateJanuary 4, 2012
Last NPPES UpdateMarch 9, 2017
NPI 1720358070 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 SC · 2251
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-03197 (NC)
8740 RIVERS AVE, North Charleston, SC 29406

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 (PECOS)

Katie Gardner Nickerson 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.

Other Providers at the Same Location NPPES 11

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

Family Medicine
8740 RIVERS AVE
NORTH CHARLESTON, SC 29406
Physician Assistant (Medical)
8740 RIVERS AVE
NORTH CHARLESTON, SC 29406
Clinic/Center (Urgent Care)
8740 RIVERS AVE
NORTH CHARLESTON, SC 29406
Personal Emergency Response Attendant
8740 RIVERS AVE
NORTH CHARLESTON, SC 29406
Physician Assistant
8740 RIVERS AVE
NORTH CHARLESTON, SC 29406
Physician Assistant
8740 RIVERS AVE
N CHARLESTON, SC 29406
Physician Assistant
8740 RIVERS AVE
NORTH CHARLESTON, SC 29406
Clinic/Center (Urgent Care)
8740 RIVERS AVE
NORTH CHARLESTON, SC 29406

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 Nickerson's NPI number?

The NPI number for Katie Nickerson is 1720358070. It was assigned to this individual provider in the NPPES registry on January 4, 2012.

Where is Katie Nickerson located?

Katie Nickerson practices at 8740 Rivers Ave, North Charleston, SC 29406. The listed phone number is (843) 572-5990.

What is Katie Nickerson's specialty?

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

Is Katie Nickerson enrolled in Medicare?

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

What insurance does Katie Nickerson accept?

Health plans from First Choice Next list Katie Nickerson 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 Nickerson was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.