JOSHUA RYAN NICHOLSON (PA-C) – Physician Assistant, NPI 1720553522

JOSHUA RYAN NICHOLSON (PA-C) is a healthcare provider. based in Eugene, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA190184 (OR). The NPI Number for JOSHUA RYAN NICHOLSON (PA-C) is 1720553522

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA RYAN NICHOLSON (PA-C)
NPI
1720553522
Phone
(541) 500-2500
Address
1292 HIGH ST STE 224
Enumeration Date
8 October 2018
Last Update Date
4 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032396673
Graduation Year
2018 (8 years ago)
PAC ID
8921348509
Group Practice PAC ID
2860390408
Professional Enrollment ID
I20190318002040
Address ID
OR972132990PO5050XHOYT302
Telehealth
Yes

Contacts

Secure Messaging
referringpgi@orclinic.direct-ci.net
Secure Messaging
cc_otoc_gastro_east_front_desk_pool12223282@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for JOSHUA RYAN NICHOLSON (PA-C)

  • 224, High Street, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974013238

    Phone: (541) 500-2500

    Type: Mailing

  • 355, West 3rd Avenue, Junction City, Lane County, Oregon, 97448, United States

    JUNCTION CITY, OR 974481313

    Phone: (541) 640-7625

    Type: Location

  • 847 NE 19TH AVE STE 300

    PORTLAND, OR 972322686

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

  • 1111 NE 99TH AVE STE 301

    PORTLAND, OR 972209442

    Phone: (503) 963-2707

    Fax: (503) 963-2802

    Type: Location

  • 541 NE 20TH AVE STE 225

    PORTLAND, OR 972322895

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: ABBVIE INC. ($30).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$30
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: 2019-03-18

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
I20190318002040IPhysician AssistantORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5544$0
99204New patient office or other outpatient visit, 45-59 minutes3232$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2524$0
76705Limited ultrasound scan of abdomen2220$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 97401)

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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: 2860390408View full group profile
NameSpecialtyState
Pulmonary DiseaseOR
-OR
O T O L A R Y N G O L O G YOR
Internal Medicine, GastroenterologyOR
Gastroenterology, Internal MedicineOR
-OR
-OR
Qualified AudiologistOR
Physician AssistantOR
N E U R O S U R G E R YOR

Reviews

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Frequently asked questions

Is there an official ID for JOSHUA RYAN NICHOLSON (PA-C) in U.S. healthcare records?
The official identifier for JOSHUA RYAN NICHOLSON (PA-C) is NPI 1720553522.
Is there an active status for JOSHUA RYAN NICHOLSON (PA-C)?
For scheduling context, JOSHUA RYAN NICHOLSON (PA-C) is shown as active in the registry.
What expertise is attributed to JOSHUA RYAN NICHOLSON (PA-C)?
JOSHUA RYAN NICHOLSON (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with JOSHUA RYAN NICHOLSON (PA-C)?
Directory geography for JOSHUA RYAN NICHOLSON (PA-C) centers on Eugene, Oregon.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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