NICOLE RAE PANGBORN PA-C
NPI 1962915967
Physician Assistant - Medical in Sedona, AZ

Q: What is Nicole Pangborn's NPI number?

The NPI number for Nicole Pangborn is 1962915967. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Q: What is Nicole Pangborn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Pangborn was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 13, 2017

95 SOLDIERS PASS RD STE B2, SEDONA, AZ 86336(928) 203-4844(928) 203-4497 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Dec 24, 2017, Nov 13, 2017 (3 updates tracked since 2017).

On this page

About Nicole Rae Pangborn Pa-c NPPES

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

NICOLE RAE PANGBORN PA-C (NPI 1962915967) is an individual medical provider in Sedona, Arizona, licensed in Arizona (6944) and active in the NPI registry since November 2017. She maintains a secondary practice location in Jamestown.

NPPES Registry Identity

NPI1962915967

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNICOLE RAE PANGBORNCredential: PA-C

Location Address95 SOLDIERS PASS RD STE B2Sedona, AZ 86336-4781

Mailing Address95 Soldiers Pass Rd Ste B2Sedona, AZ 86336-4781 · (928) 203-4844 · Fax (928) 203-4497

Phone(928) 203-4844

Fax(928) 203-4497

Sole ProprietorNo

Enumeration DateNovember 13, 2017

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1962915967 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 AZ · 6944

95 SOLDIERS PASS RD STE B2, Sedona, AZ 86336

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Secondary Practice Location 1

Location 1587 Prosser Hill RdJamestown, NY 14701-9350 · Phone (716) 640-8129

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENICIAN MEDICAL CENTER INC

Clinic/Center (Rural Health)

95 SOLDIERS PASS RD STE B2
SEDONA, AZ 86336

Yavapai County (480) 963-1853

VERDE COMMUNITY HEALTHCARE LLC

Clinic/Center (Rural Health)

95 SOLDIERS PASS RD STE B2
SEDONA, AZ 86336

Yavapai County (928) 862-2802

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 Nicole Pangborn's NPI number?

The NPI number for Nicole Pangborn is 1962915967. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Where is Nicole Pangborn located?

Nicole Pangborn practices at 95 Soldiers Pass Rd Ste B2, Sedona, AZ 86336. The listed phone number is (928) 203-4844.

What is Nicole Pangborn's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Pangborn was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.