GRANT S NICHOLS III PA-C
NPI 1891051223
Physician Assistant in Colorado Springs, CO

Q: What is Grant Nichols's NPI number?

The NPI number for Grant Nichols is 1891051223. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Q: What is Grant Nichols'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 Grant Nichols was last updated on December 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment

2685 DUBLIN BLVD, COLORADO SPRINGS, CO 80918(719) 592-9890(719) 264-7908 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2024, Dec 11, 2015 (2 updates tracked since 2015).

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About Grant S Nichols Iii Pa-c NPPES

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

GRANT S NICHOLS III PA-C (NPI 1891051223) is an individual physician assistant in Colorado Springs, Colorado, licensed in Colorado (PA.0004492) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pueblo, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1891051223

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGRANT S NICHOLS IIICredential: PA-C

Location Address2685 DUBLIN BLVDColorado Springs, CO 80918-1358

Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-2417

Phone(719) 592-9890

Fax(719) 264-7908

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateApril 10, 2012

Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration

NPPES CertifiedDecember 30, 2024

✔ NPI 1891051223 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 CO · PA.0004492

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 ListedSpecialist/Technologist, Other · ElectroneurodiagnosticTaxonomy 246ZE0600X

2685 DUBLIN BLVD, Colorado Springs, CO 80918

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Secondary Practice Location 1

Location 1300 Colorado AvePueblo, CO 81004-2006 · Phone (719) 543-8711

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Grant S Nichols Iii 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 ID4385946789

PECOS Enrollment IDI20151231000449

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 80918 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier12 claims12 services$36.32 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers12 claims1,950 services$0.08 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers19 claims19 services$174.96 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers13 claims13 services$18.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

NATALIE CONNOLLY MD

Pediatrics