MR. CAMERON TYLER NICHOLSON PA-C
NPI 1720589815
Physician Assistant in New York, NY

Q: What is Cameron Nicholson's NPI number?

The NPI number for Cameron Nicholson is 1720589815. It was assigned to this individual provider in the NPPES registry on February 23, 2018.

Q: What is Cameron Nicholson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cameron Nicholson was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 23, 2018PECOS EnrolledAccepts Medicare Assignment

535 E 70TH ST, NEW YORK, NY 10021(212) 606-1000 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 14, 2021, Apr 25, 2018, Feb 23, 2018 (3 updates tracked since 2018).

On this page

About Mr. Cameron Tyler Nicholson Pa-c NPPES

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

MR. CAMERON TYLER NICHOLSON PA-C (NPI 1720589815) is an individual physician assistant in New York, New York and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720589815

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. CAMERON TYLER NICHOLSONCredential: PA-C

Location Address535 E 70TH STNew York, NY 10021-4823

Mailing Address535 E 70th StNew York, NY 10021-4898 · (212) 606-1000

Phone(212) 606-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 23, 2018

Last NPPES UpdateApril 14, 20213 updates tracked since enumeration

NPPES CertifiedApril 14, 2021

✔ NPI 1720589815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

535 E 70TH ST, New York, NY 10021

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Mr. Cameron Tyler Nicholson 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 ID2567711856

PECOS Enrollment IDI20250227002903

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

SARAH E. MCCORD PA-C

Physician Assistant (Surgical)