NICOLE SOMERS (PAC) – Physician Assistant, NPI 1083493720

NICOLE SOMERS (PAC) is a healthcare provider. based in Northampton, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. MA064901 (PA). The NPI Number for NICOLE SOMERS (PAC) is 1083493720

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE SOMERS (PAC)
NPI
1083493720
Phone
(484) 526-7275
Address
602 B EAST 21ST ST
Enumeration Date
22 September 2023
Last Update Date
22 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6108142424
Graduation Year
2023 (3 years ago)
PAC ID
8820444003
Group Practice PAC ID
6709798333
Professional Enrollment ID
I20231024002378
Address ID
PA180201431BE4379XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for NICOLE SOMERS (PAC)

  • 602 B EAST 21ST ST

    SUITE 400

    NORTHAMPTON, PA 180671269

    Phone: (484) 526-7275

    Fax: (833) 820-1011

    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)

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: 2023-10-24

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
I20231024002378IPhysician AssistantPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2322$0
99214Established patient office or other outpatient visit, 30-39 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 18067)

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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: 6709798333View full group profile

Reviews

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Frequently asked questions

What is the standard ID for NICOLE SOMERS (PAC) in the U.S.?
In the U.S., NICOLE SOMERS (PAC) is identified by NPI 1083493720.
Should I treat NICOLE SOMERS (PAC) as an active provider?
Patients and plans typically see NICOLE SOMERS (PAC) as active in the national extract.
What does the directory say NICOLE SOMERS (PAC) does?
Insurance directories may phrase it differently, but here NICOLE SOMERS (PAC) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit NICOLE SOMERS (PAC) in Northampton, Pennsylvania?
For routing, start with Northampton, Pennsylvania for NICOLE SOMERS (PAC), then verify phone and hours locally.
Can I export NICOLE SOMERS (PAC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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