NICHOLAS PHAIR PA
NPI 1770324725
Physician Assistant in Prescott Valley, AZ

Q: What is Nicholas Phair's NPI number?

The NPI number for Nicholas Phair is 1770324725. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Q: What is Nicholas Phair'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 Nicholas Phair was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 June 04, 2024PECOS EnrolledAccepts Medicare Assignment

3251 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314(928) 772-2582(877) 319-1729 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Jun 4, 2024 (2 updates tracked since 2024).

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About Nicholas Phair Pa NPPES

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

NICHOLAS PHAIR PA (NPI 1770324725) is an individual physician assistant in Prescott Valley, Arizona, licensed in Arizona (11452) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770324725

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameNICHOLAS PHAIRCredential: PA

Location Address3251 N WINDSONG DRPrescott Valley, AZ 86314-1222

Mailing Address3251 N Windsong DrPrescott Valley, AZ 86314-1222 · (928) 772-2582 · Fax (877) 319-1729

Phone(928) 772-2582

Fax(877) 319-1729

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 4, 2024

Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1770324725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 11452

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.

3251 N WINDSONG DR, Prescott Valley, AZ 86314

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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

Nicholas Phair Pa 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 ID9335631464

PECOS Enrollment IDI20251125002942

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 86314 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 19

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

MICHAEL J BRYAN MD PLLC

Family Medicine