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AMY L NICHOLAS PA
NPI 1811983174
Physician Assistant - Medical in Grapevine, TX

Active since September 22, 2005PECOS Enrolled
1650 W NORTHWEST HWY STE 200, GRAPEVINE, TX 76051(972) 716-3922(214) 948-5516 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2020, Jun 22, 2016 (2 updates tracked since 2016).

About Amy L Nicholas Pa NPPES

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

AMY L NICHOLAS PA (NPI 1811983174) is an individual medical provider in Grapevine, Texas, licensed in Texas (PA03950) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811983174
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMY L NICHOLASCredential: PA
Location Address1650 W NORTHWEST HWY STE 200Grapevine, TX 76051-8122
Mailing Address3139 Southlake Park RdSouthlake, TX 76092-2501 · (214) 668-6575
Phone(972) 716-3922
Fax(214) 948-5516
Sole ProprietorNo
Enumeration DateSeptember 22, 2005
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1811983174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA03950
1650 W NORTHWEST HWY STE 200, Grapevine, TX 76051
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Other Names 1

Former Name (1)Amy L Hicks Pa

Secondary Practice Locations 2

Location 14000 Five Points Dr Ste 169Arlington, TX 76018-6057 · Phone (972) 556-6946
Location 25407 Basswood Blvd Ste 113Fort Worth, TX 76137-4499 · Phone (972) 556-6946

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..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)

Amy L Nicholas Pa 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.

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 Amy Nicholas's NPI number?

The NPI number for Amy Nicholas is 1811983174. It was assigned to this individual provider in the NPPES registry on September 22, 2005. The provider is also known as Amy L Hicks PA.

Where is Amy Nicholas located?

Amy Nicholas practices at 1650 W Northwest Hwy Ste 200, Grapevine, TX 76051. The listed phone number is (972) 716-3922.

What is Amy Nicholas's specialty?

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

Is Amy Nicholas enrolled in Medicare?

Yes. Amy Nicholas is registered in the Medicare PECOS enrollment system.

What insurance does Amy Nicholas accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Amy Nicholas 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 Amy Nicholas was last updated on August 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.