MICHAEL ERNEST JR. NICHOLAS (PA) – Physician Assistant, NPI 1275563637

MICHAEL ERNEST JR. NICHOLAS (PA) is a healthcare provider. based in Plano, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA04164 (TX). The NPI Number for MICHAEL ERNEST JR. NICHOLAS (PA) is 1275563637

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL ERNEST JR. NICHOLAS (PA)
NPI
1275563637
Phone
(214) 277-3404
Address
2805 N. DALLAS PKWY
Enumeration Date
3 July 2006
Last Update Date
20 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6156574800
Graduation Year
2004 (22 years ago)
PAC ID
2466410105
Group Practice PAC ID
1759803166
Professional Enrollment ID
I20041228000360
Address ID
TX752357709DA5200XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MICHAEL ERNEST JR. NICHOLAS (PA)

  • Dallas Baptist University (DBU North), 2805, Dallas Parkway, Plano, Collin County, Texas, 75093, United States

    SUITE 640

    PLANO, TX 750938724

    Phone: (214) 277-3404

    Type: Mailing

  • North O'Connor Road, Irving, Dallas County, Texas, 75061, United States

    SUITE 110

    IRVING, TX 750624415

    Phone: (214) 277-3404

    Fax: (817) 488-4493

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: Medtronic, Inc. ($77).

Total Amount

$168

General + Research + Ownership

Payments

6

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

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: 2004-12-28

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
I20041228000360IPhysician AssistantTXTBD

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
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg2,15033$0
20610Aspiration and/or injection of fluid from large joint7440$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg7221$0
77002Fluoroscopic guidance for needle placement6131$0
99214Established patient office or other outpatient visit, 30-39 minutes2522$0
View full utilization report →

Insurance plans in this area (ZIP 75093)

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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: 1759803166View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL ERNEST JR. NICHOLAS (PA)'s NPI?
Yes. MICHAEL ERNEST JR. NICHOLAS (PA) is listed with NPI 1275563637 in the public NPI dataset.
Does the file indicate MICHAEL ERNEST JR. NICHOLAS (PA) is practicing under active NPI?
Directory data currently reports MICHAEL ERNEST JR. NICHOLAS (PA) as active.
What taxonomy line describes MICHAEL ERNEST JR. NICHOLAS (PA)?
For research purposes, treat MICHAEL ERNEST JR. NICHOLAS (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is MICHAEL ERNEST JR. NICHOLAS (PA) based?
MICHAEL ERNEST JR. NICHOLAS (PA) is tied to Plano, Texas in the data we show; additional addresses may exist on the full record.
Why does MICHAEL ERNEST JR. NICHOLAS (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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