MARY TSAKIRIS NICHOLAS (PA-C) – Medical Physician Assistant, NPI 1902141575

MARY TSAKIRIS NICHOLAS (PA-C) is a healthcare provider. based in West chester, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA055885 (PA). The NPI Number for MARY TSAKIRIS NICHOLAS (PA-C) is 1902141575

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MARY TSAKIRIS NICHOLAS (PA-C)
NPI
1902141575
Phone
(610) 918-2500
Address
1101 PAOLI PIKE
Enumeration Date
7 December 2012
Last Update Date
10 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6109182500
Graduation Year
2012 (14 years ago)
PAC ID
2961656996
Group Practice PAC ID
9335187889
Professional Enrollment ID
I20130129000215
Address ID
PA190331309FO200XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,738 PHYSICIAN ASSISTANT in PA

Provider Addresses for MARY TSAKIRIS NICHOLAS (PA-C)

  • 1101 PAOLI PIKE

    WEST CHESTER, PA 193804642

    Phone: (610) 918-2500

    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 42 Open Payments records for all available years, with a total value of $851.

Total Amount is formed as General ($851) + Research ($0) + Ownership ($0) = $851.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($264).

Total Amount

$851

General + Research + Ownership

Payments

42

Total payment records

General Amount

$851

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2013-01-29

PECOS data refreshed: 2026-06-15

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
I20130129000215IPhysician 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
17003Destruction of precancer skin growth, 2-14 growths656151$0
99213Established patient office or other outpatient visit, 20-29 minutes496411$0
17000Destruction of precancer skin growth, 1 growth261212$0
11104Punch biopsy, first skin growth109103$0
17110Destruction of skin growth, 1-14 growths9474$0
View full utilization report →

Insurance plans in this area (ZIP 19380)

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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: 9335187889View full group profile
NameSpecialtyState
D E R M A T O L O G YPA
Physician AssistantDC
Physician AssistantDE

Reviews

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Frequently asked questions

Does MARY TSAKIRIS NICHOLAS (PA-C) have a public NPI I can cite?
Public records show MARY TSAKIRIS NICHOLAS (PA-C) under NPI 1902141575.
Should I treat MARY TSAKIRIS NICHOLAS (PA-C) as an active provider?
Patients and plans typically see MARY TSAKIRIS NICHOLAS (PA-C) as active in the national extract.
What type of care does MARY TSAKIRIS NICHOLAS (PA-C) provide?
MARY TSAKIRIS NICHOLAS (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARY TSAKIRIS NICHOLAS (PA-C)?
MARY TSAKIRIS NICHOLAS (PA-C) is associated with West Chester, Pennsylvania in the same public data insurers reference.
Who maintains MARY TSAKIRIS NICHOLAS (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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