RORY ANTHONY NICHOLS PA-C
NPI 1760981047
Physician Assistant in Travis Afb, CA

Active since February 01, 2018PECOS EnrolledAccepts Medicare Assignment
101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-3580 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 3, 2023, Feb 6, 2020 (2 updates tracked since 2020).

About Rory Anthony Nichols Pa-c NPPES

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

RORY ANTHONY NICHOLS PA-C (NPI 1760981047) is an individual physician assistant in Travis Afb, California and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Davis School Of Medicine (2018).

NPPES Registry Identity

NPI1760981047
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRORY ANTHONY NICHOLSCredential: PA-C
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address1525 W Winton Ave Bldg 9Hayward, CA 94545-1310 · (510) 750-3157
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2018
Enumeration DateFebruary 1, 2018
Last NPPES UpdateApril 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
NPI 1760981047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
101 BODIN CIR, Travis Afb, CA 94535

Secondary Practice Locations 2

Location 12690 S White Rd Ste 200San Jose, CA 95148-2077 · Phone (408) 223-7771
Location 21760 S Bascom Ave Ste 140Campbell, CA 95008-0638 · Phone (408) 214-9732

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

Rory Anthony Nichols 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 ID9335575349
PECOS Enrollment IDI20221123000583
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
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.

Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Family Medicine
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535

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 Rory Nichols's NPI number?

The NPI number for Rory Nichols is 1760981047. It was assigned to this individual provider in the NPPES registry on February 1, 2018.

Where is Rory Nichols located?

Rory Nichols practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-3580.

What is Rory Nichols's specialty?

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

Is Rory Nichols enrolled in Medicare?

Yes. Rory Nichols 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 Rory Nichols was last updated on April 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.