MR. NICHOLAS HENSLEY (MPAS, PA-C) – Surgical Physician Assistant, NPI 1831647197

MR. NICHOLAS HENSLEY (MPAS, PA-C) is a healthcare provider. based in Idaho falls, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MPAS, PA-C. They hold a License No. PA-1410 (ID). The NPI Number for MR. NICHOLAS HENSLEY (MPAS, PA-C) is 1831647197

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. NICHOLAS HENSLEY (MPAS, PA-C)
NPI
1831647197
Phone
(208) 535-4800
Address
3155 CHANNING WAY STE B
Enumeration Date
15 September 2016
Last Update Date
15 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4063754758
Graduation Year
2016 (10 years ago)
PAC ID
1759661168
Group Practice PAC ID
5597664474
Professional Enrollment ID
I20180301002340
Address ID
MT598402345HA1270XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

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Provider Addresses for MR. NICHOLAS HENSLEY (MPAS, PA-C)

  • Channing Way, Idaho Falls, Bonneville County, Idaho, 83404, United States

    IDAHO FALLS, ID 834047534

    Phone: (208) 535-4800

    Fax: (208) 535-4807

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Medtronic, Inc. ($34).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-03-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180301002340IPhysician AssistantMTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment2012$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion1514$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment1212$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597664474View full group profile
NameSpecialtyState
Emergency MedicineMT
-MT
Physician AssistantMT
Nurse PractitionerMT
Physical Therapist In Private PracticeMT
-MT
Nurse PractitionerMT
-MT
Nurse PractitionerMT
U R O L O G YMT

Reviews

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Frequently asked questions

Is there an official ID for MR. NICHOLAS HENSLEY (MPAS, PA-C) in U.S. healthcare records?
The official identifier for MR. NICHOLAS HENSLEY (MPAS, PA-C) is NPI 1831647197.
Is MR. NICHOLAS HENSLEY (MPAS, PA-C) still an active registrant?
MR. NICHOLAS HENSLEY (MPAS, PA-C) carries an active NPI according to the public dataset.
What kind of doctor is MR. NICHOLAS HENSLEY (MPAS, PA-C)?
MR. NICHOLAS HENSLEY (MPAS, PA-C) is associated with Surgical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. NICHOLAS HENSLEY (MPAS, PA-C)?
Travel planning: use Idaho Falls, Idaho as the reference point for MR. NICHOLAS HENSLEY (MPAS, PA-C), then confirm.
When was this NPI issued?
Enumeration for MR. NICHOLAS HENSLEY (MPAS, PA-C) is noted as September 15, 2016 where the registry provides it.

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