Steven Matthew Nichols, PA-C
Physician Assistant in Harrisburg, PA. Individual provider (NPI-1).
NPI number1790055366
StatusActive
Last updated in NPPESJul 1, 2015
Details
- NPI
- 1790055366
- Entity type
- Individual (NPI-1)
- Name
- Steven Matthew Nichols
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2012
- Last updated
- Jul 1, 2015
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA0055332 | PA | Yes |
Practice location
4300 Londonderry RdHarrisburg, PA 17109-5317
Phone 717-657-7332 · Fax 717-920-4394
Mailing address
307 S Front St1st Floor
Harrisburg, PA 17104-1621
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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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