NICHOLAS Q DE LA MOTTE HURST (PA) – Physician Assistant, NPI 1831476506
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NICHOLAS Q DE LA MOTTE HURST (PA)
3525 LOMA VISTA RD
STE A
VENTURA, CA 930033101
Phone: (805) 641-6415
Fax: (805) 641-6495
Type: Mailing
2525 ERRINGER RD
SIMI VALLEY, CA 930652352
Phone: (805) 527-1404
Fax: (805) 527-5246
Type: Location
3237 SATELLITE BLVD STE 425
DULUTH, GA 300969009
Phone: (678) 257-2547
Fax: (404) 795-5832
Type: Mailing
3970 Five Forks Trickum Rd SW Ste A
Lilburn, GA 300472339
Phone: (678) 257-2547
Fax: (404) 795-5832
Type: Location
1498 JESSE JEWELL PKWY SE STE A
GAINESVILLE, GA 305013874
Phone: (678) 257-2547
Fax: (404) 795-5832
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: 2012-01-04
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 |
|---|---|---|---|---|
| I20120104000116 | I | Physician Assistant | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 93003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NJ | |
| Orthopedic Surgery | CA | |
| Pain Management, Anesthesiology | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physician Assistant | CA | |
| Hand Surgery | CA | |
| Nurse Practitioner | CA | |
| Orthopedic Surgery | CA |
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