DEVON NICHOLSON
NPI 1902603574
Nurse Practitioner - Psychiatric/Mental Health in San Francisco, CA

Q: What is Devon Nicholson's NPI number?

The NPI number for Devon Nicholson is 1902603574. It was assigned to this individual provider in the NPPES registry on February 28, 2025.

Q: What is Devon Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Devon Nicholson was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 28, 2025PECOS Enrolled

245 11TH ST, SAN FRANCISCO, CA 94103(415) 355-0311 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2025, Feb 28, 2025 (2 updates tracked since 2025).

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About Devon Nicholson NPPES

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

DEVON NICHOLSON (NPI 1902603574) is an individual psychiatric/mental health provider in San Francisco, California, licensed in California (95034249) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902603574

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDEVON NICHOLSON

Location Address245 11TH STSan Francisco, CA 94103-3732

Mailing Address245 11th StSan Francisco, CA 94103-3732 · (415) 355-0311

Phone(415) 355-0311

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 28, 2025

Last NPPES UpdateJune 15, 20262 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1902603574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CA · 95034249✔ Licensed in FL · 11037982

245 11TH ST, San Francisco, CA 94103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devon Nicholson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901366673

PECOS Enrollment IDI20260901004303

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.

Medicare Billing Reassignment

Medicare enrollment records show Devon Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Westside Community Mental Health Center

Same address

Community/Behavioral Health

245 11TH ST
San Francisco, CA 94103

Reassigned Medicare billing, California enrollment
15 clinicians in this Medicare group

NPI 1437215233 (415) 355-0311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94103 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

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.

MS. LUCY DRENG HSU N.P.

Nurse Practitioner (Psychiatric/Mental Health)