SARAH M. NICKELLS (PA-C) – Physician Assistant, NPI 1558312439

SARAH M. NICKELLS (PA-C) is a healthcare provider. based in Moon township, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA052249 (PA). The NPI Number for SARAH M. NICKELLS (PA-C) is 1558312439

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
SARAH M. NICKELLS (PA-C)
NPI
1558312439
Phone
(724) 513-3136
Address
1123 BRIDLE TRL
Enumeration Date
15 May 2006
Last Update Date
9 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7247288751
Graduation Year
2005 (21 years ago)
PAC ID
7618985102
Group Practice PAC ID
0042105678
Professional Enrollment ID
I20060324000255
Address ID
PA150091957BE500XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for SARAH M. NICKELLS (PA-C)

  • 1123, Bridle Trail, Carnot, Moon Township, Allegheny County, Pennsylvania, 15108, United States

    MOON TOWNSHIP, PA 151082791

    Phone: (724) 513-3136

    Type: Mailing

  • Heritage Valley Health System, 1000, Dutch Ridge Road, Toro, Brighton Township, Beaver County, Pennsylvania, 15009, United States

    BEAVER, PA 150099727

    Phone: (724) 773-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 159 Open Payments records for all available years, with a total value of $2,878.

Total Amount is formed as General ($2,878) + Research ($0) + Ownership ($0) = $2,878.

Last reported payment date: 2024-12-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($545).

Total Amount

$2,878

General + Research + Ownership

Payments

159

Total payment records

General Amount

$2,878

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-15

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: 2006-03-24

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
I20060324000255IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes10691$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6565$0
99213Established patient office or other outpatient visit, 20-29 minutes5246$0
G0008Administration of influenza virus vaccine1818$0
90662Influenza vaccine split virus, preservative free1616$0
View full utilization report →

Insurance plans in this area (ZIP 15108)

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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: 0042105678View full group profile
NameSpecialtyState
-PA
-PA
-PA
Physician AssistantPA
-PA
H O S P I T A L I S TPA
Interventional Cardiology, Cardiovascular Disease (Cardiology)PA
Physician AssistantNY
-NC
Internal MedicinePA

Reviews

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Frequently asked questions

How do I look up SARAH M. NICKELLS (PA-C) by NPI?
Use NPI 1558312439 when you need to reference SARAH M. NICKELLS (PA-C) in forms, claims, or directories.
Does this profile mean SARAH M. NICKELLS (PA-C) is currently active?
Yes — SARAH M. NICKELLS (PA-C) appears active in the national provider directory.
Does SARAH M. NICKELLS (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for SARAH M. NICKELLS (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place SARAH M. NICKELLS (PA-C)?
The snapshot lists Moon Township, Pennsylvania for SARAH M. NICKELLS (PA-C); download NPPES for the complete set.
How can I contact SARAH M. NICKELLS (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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