TIMOTHY LAINE NICOL PA-C
NPI 1881407914
Physician Assistant in Ozark, MO

Q: What is Timothy Nicol's NPI number?

The NPI number for Timothy Nicol is 1881407914. It was assigned to this individual provider in the NPPES registry on January 31, 2025.

Q: What is Timothy Nicol'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 Timothy Nicol was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 January 31, 2025PECOS EnrolledAccepts Medicare Assignment

3050 E RIVER BLUFF BLVD, OZARK, MO 65721(417) 885-3000 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Timothy Laine Nicol Pa-c NPPES

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

TIMOTHY LAINE NICOL PA-C (NPI 1881407914) is an individual physician assistant in Ozark, Missouri, licensed in Missouri (2025004726) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1881407914

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTIMOTHY LAINE NICOLCredential: PA-C

Location Address3050 E RIVER BLUFF BLVDOzark, MO 65721-8807

Mailing Address425 E Harrison StRepublic, MO 65738-1350 · (563) 213-4684

Phone(417) 885-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 31, 2025

Last NPPES UpdateApril 22, 2025

NPPES CertifiedApril 22, 2025

✔ NPI 1881407914 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 MO · 2025004726

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.

3050 E RIVER BLUFF BLVD, Ozark, MO 65721

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.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

Timothy Laine Nicol 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 ID9931622032

PECOS Enrollment IDI20250331000240

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.

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260065

Location1235 E CherokeeSpringfield, MO 65804 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65721 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

RICHARD AUGUSTUS SEAGRAVE III MD

Orthopaedic Surgery