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NIKKI J. ROTHWELL PA-C
NPI 1891756102
Physician Assistant in Madisonville, KY

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
444 S MAIN ST, MADISONVILLE, KY 42431(270) 821-4444(270) 821-9188 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nikki J. Rothwell Pa-c NPPES

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

NIKKI J. ROTHWELL PA-C (NPI 1891756102) is an individual physician assistant in Madisonville, Kentucky, licensed in Kentucky (PA298) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madisonville, and is a graduate of University Of Kentucky College Of Medicine (1995).

NPPES Registry Identity

NPI1891756102
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNIKKI J. ROTHWELLCredential: PA-C
Location Address444 S MAIN STMadisonville, KY 42431-2871
Mailing Address444 S Main StMadisonville, KY 42431-2871 · (270) 821-4444 · Fax (270) 821-9188
Phone(270) 821-4444
Fax(270) 821-9188
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1995
Enumeration DateMarch 28, 2006
Last NPPES UpdateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1891756102 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 KY · PA298
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.
444 S MAIN ST, Madisonville, KY 42431
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Secondary Practice Location 1

Location 1510 Ruby DrMadisonville, KY 42431-2168 · Phone (270) 399-7900 · Fax (270) 399-7910

Other Identifiers 2

Medicaid9500110300KY
Other000000475414KY · Bcbs Pin#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Nikki J. Rothwell 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 ID6608871637
PECOS Enrollment IDI20060926000533
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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
92 services23 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.
56 services54 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

ROBERT G. HOLZKNECHT M.D.
Family Medicine
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 821-4444
TORE STUEN P.T.
Physical Therapist
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 825-0069
BRANDY M. SHELTON
Nurse Practitioner (Family)
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 821-4444
JOHN J. FARMER M. D.
Family Medicine
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 821-4444
TRI-STATE ADVANCED PAIN MANAGEMENT
Pain Medicine (Interventional Pain Medicine)
444 S MAIN ST, SUITE 133
MADISONVILLE, KY 42431
Hopkins County (270) 825-4732
DIANA M. STULC, PSC
Family Medicine
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 825-4204
MADISONVILLE MRI LLC
Radiology (Diagnostic Radiology)
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (800) 467-2392
ALICIA F. TERRY PA-C
Physician Assistant
444 S MAIN ST
MADISONVILLE, KY 42431
Hopkins County (270) 821-4444

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 Nikki Rothwell's NPI number?

The NPI number for Nikki Rothwell is 1891756102. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Nikki Rothwell located?

Nikki Rothwell practices at 444 S Main St, Madisonville, KY 42431. The listed phone number is (270) 821-4444.

What is Nikki Rothwell's specialty?

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

Is Nikki Rothwell enrolled in Medicare?

Yes. Nikki Rothwell 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 Nikki Rothwell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Nikki Rothwell 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 Nikki Rothwell was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.