NICOLE M NEWHAUSER (PA) – Surgical Physician Assistant, NPI 1124190004
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for NICOLE M NEWHAUSER (PA)
2100 Powell Street, Bay Trail, Emeryville, Alameda County, California, 94608, United States
SUITE 900
EMERYVILLE, CA 946081826
Phone: (510) 350-2673
Type: Mailing
4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA 949035233
Phone: (415) 925-8963
Type: Location
Marin General Hospital, 250, Bon Air Road, Skylark, Marin County, California, 94904, United States
GREENBRAE, CA 949041702
Phone: (415) 925-7200
Type: Location
250 Bon Air Rd
Greenbrae, CA 949041702
Phone: (415) 925-7200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-01-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060120000591 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 831 | 62 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 420 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 139 | 107 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 125 | 90 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 73 | 73 | $0 |
Insurance plans in this area (ZIP 94608)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | CA | |
| - | CA | |
| - | CA | |
| Physician Assistant | CA | |
| - | ID | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MA | |
| O P H T H A L M O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA |
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