NICKOLAS LEE SITTER – Medical Physician Assistant, NPI 1205502994

NICKOLAS LEE SITTER is a healthcare provider. based in Shawnee, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5202 (OK). The NPI Number for NICKOLAS LEE SITTER is 1205502994

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
NICKOLAS LEE SITTER
NPI
1205502994
Phone
(405) 432-7273
Address
42711 CRIMSON LN
Enumeration Date
21 August 2021
Last Update Date
10 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4055674922
Graduation Year
2023 (3 years ago)
PAC ID
6901349695
Group Practice PAC ID
8123435187
Professional Enrollment ID
I20240622000485
Address ID
OK748644900PR1322XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for NICKOLAS LEE SITTER

  • 42711 CRIMSON LN

    SHAWNEE, OK 748049371

    Phone: (405) 432-7273

    Type: Mailing

  • 1322 KLABZUBA AVE

    PRAGUE, OK 748644900

    Phone: (405) 567-2295

    Type: Location

  • 8443 E 81st St Apt 627

    Tulsa, OK 741338045

    Phone: (405) 432-7273

    Type: Location

  • 8443 E 81ST ST APT 627

    TULSA, OK 741338045

    Phone: (405) 432-7273

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Boston Scientific Corporation ($209).

Total Amount

$244

General + Research + Ownership

Payments

8

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2024-06-22

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
I20240622000485IPhysician AssistantOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74804)

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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: 8123435187View full group profile
NameSpecialtyState
Family PracticeOK
Physician AssistantOK
Nurse PractitionerOK
Physician AssistantOK
Physical Therapist In Private PracticeOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What is NICKOLAS LEE SITTER's NPI number?
NICKOLAS LEE SITTER's NPI is 1205502994 — the number used across U.S. healthcare to identify this provider.
Is there an active status for NICKOLAS LEE SITTER?
For scheduling context, NICKOLAS LEE SITTER is shown as active in the registry.
What kind of doctor is NICKOLAS LEE SITTER?
NICKOLAS LEE SITTER is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is NICKOLAS LEE SITTER located near Shawnee?
NICKOLAS LEE SITTER currently maps to Shawnee, Oklahoma in this extract.
Can I trust this NPI listing for NICKOLAS LEE SITTER?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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