MS. NICOLE M DWYER PA
NPI 1780860908
Physician Assistant in Lewiston, ID

Active since January 17, 2008PECOS EnrolledAccepts Medicare Assignment
415 6TH STREET, LEWISTON, ID 83501(208) 750-7507 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2025, Aug 3, 2021 (2 updates tracked since 2021).

About Ms. Nicole M Dwyer Pa NPPES

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

MS. NICOLE M DWYER PA (NPI 1780860908) is an individual physician assistant in Lewiston, Idaho, licensed in Idaho (PA-1980) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and maintains a secondary practice location in Moscow.

NPPES Registry Identity

NPI1780860908
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. NICOLE M DWYERCredential: PA
Location Address415 6TH STREETLewiston, ID 83501-2434
Mailing Address415 6th StreetLewiston, ID 83501-2434 · (208) 750-7507
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 17, 2008
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
NPI 1780860908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ID · PA-1980
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 · License PA-1980 (ID)
415 6TH STREET, Lewiston, ID 83501

Other Names 1

Professional Name (2)Ms. Nicole M Dwyer Mpas, Pa-c, Lmp

Secondary Practice Location 1

Location 12500 W A St Ste 101Moscow, ID 83843-6000 · Phone (208) 882-0540

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 and accepts Medicare assignment

Ms. Nicole M Dwyer 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 ID840331245
PECOS Enrollment IDI20100107000390, I20210210001626
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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
78 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130003
Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County
Emergency services Birthing friendly

Clearwater Valley Hospital & Clinics

Critical Access Hospitals · Orofino, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131320
Location301 Cedar StreetOrofino, ID 83544 · Clearwater County
Emergency services

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131321
Location701 Lewiston StCottonwood, ID 83522 · Idaho County
Emergency services

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501331
Location835 S Bishop BlvdPullman, WA 99163 · Whitman County
Emergency services Birthing friendly

Tri-State Memorial Hospital

Critical Access Hospitals · Clarkston, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number501332
Location1221 Highland AvenueClarkston, WA 99403 · Asotin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83501 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 4

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

Nurse Practitioner (Family)
415 6TH STREET
LEWISTON, ID 83501
Nurse Practitioner
415 6TH STREET
LEWISTON, ID 83501
Nurse Practitioner (Family)
415 6TH STREET
LEWISTON, ID 83501
Internal Medicine
415 6TH STREET, PHYSICIAN SERVICES
LEWISTON, ID 83501

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 Nicole Dwyer's NPI number?

The NPI number for Nicole Dwyer is 1780860908. It was assigned to this individual provider in the NPPES registry on January 17, 2008. The provider is also known as Ms. Nicole M Dwyer Mpas, Pa-C, Lmp.

Where is Nicole Dwyer located?

Nicole Dwyer practices at 415 6th Street, Lewiston, ID 83501. The listed phone number is (208) 750-7507.

What is Nicole Dwyer's specialty?

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

Is Nicole Dwyer enrolled in Medicare?

Yes. Nicole Dwyer 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.

What insurance does Nicole Dwyer accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Nicole Dwyer 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.

Is Nicole Dwyer affiliated with any hospitals?

According to CMS data, Nicole Dwyer is affiliated with St Joseph Regional Medical Center, Clearwater Valley Hospital & Clinics, St Marys Hospital And Clinics, Pullman Regional Hospital and Tri-State Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Dwyer was last updated on May 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.