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Nicola Arnott Nicholson, PA

Physician Assistant in Scottsdale, AZ. Individual provider (NPI-1).

NPI number1124335740
StatusActive
Last updated in NPPESSep 10, 2020

Details

NPI
1124335740
Entity type
Individual (NPI-1)
Name
Mrs. Nicola Arnott Nicholson
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 2, 2010
Certification date
Sep 10, 2020
Last updated
Sep 10, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant4686AZYes
363AM0700X Physician Assistant, Medical4686AZ

Practice location

13400 E Shea Blvd
Scottsdale, AZ 85259

Phone 480-301-8000

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259-5452

Phone 480-301-8000

Other practice locations

14961 W Bell Rd
175
Surprise, AZ 85374-3200

Phone 623-547-7205 · Fax 623-243-6733

14961 W Bell Rd
175
Surprise, AZ 85374-3200

Phone 623-547-7205 · Fax 623-243-6733

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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