AMY L NICHOLAS (PA) – Medical Physician Assistant, NPI 1811983174

AMY L NICHOLAS (PA) is a healthcare provider. based in Southlake, Texas. specializing in Medical Physician Assistant. They hold the professional credentials PA. They hold a License No. PA03950 (TX). The NPI Number for AMY L NICHOLAS (PA) is 1811983174

Main info

Female
23 Years Of Experience
Name
AMY L NICHOLAS (PA)
NPI
1811983174
Phone
(214) 668-6575
Address
3139 SOUTHLAKE PARK RD
Enumeration Date
22 September 2005
Last Update Date
26 August 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
5125501800
Graduation Year
2003 (23 years ago)
PAC ID
6204884885
Group Practice PAC ID
7315169596
Professional Enrollment ID
I20050111000079
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for AMY L NICHOLAS (PA)

  • 3139, Southlake Park Road, Southlake, Tarrant County, Texas, 76092, United States

    SOUTHLAKE, TX 760922501

    Phone: (214) 668-6575

    Type: Mailing

  • 1650 W NORTHWEST HWY STE 200

    GRAPEVINE, TX 760518122

    Phone: (972) 716-3922

    Fax: (214) 948-5516

    Type: Location

  • 4000 Five Points Dr Ste 169

    Arlington, TX 760186057

    Phone: (972) 556-6946

    Type: Location

  • 5407 Basswood Blvd Ste 113

    Fort Worth, TX 761374499

    Phone: (972) 556-6946

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,006.

Total Amount is formed as General ($1,006) + Research ($0) + Ownership ($0) = $1,006.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($338).

Total Amount

$1,006

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,006

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76092)

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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: 7315169596View full group profile
NameSpecialtyState
-TX
Physician AssistantTX
Physician AssistantOK
Physician AssistantTX
-TX
-TX
A L L E R G Y/ I M M U N O L O G YTX
Pediatric Medicine, Allergy/ImmunologyTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

What NPI should I save for AMY L NICHOLAS (PA)?
Save NPI 1811983174 if you need a stable reference for AMY L NICHOLAS (PA).
Is AMY L NICHOLAS (PA)'s NPI currently valid?
The extract we use shows AMY L NICHOLAS (PA) as active.
What does AMY L NICHOLAS (PA) treat or focus on?
Patients typically see AMY L NICHOLAS (PA) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is AMY L NICHOLAS (PA)'s primary listing?
We display Southlake, Texas because that is what the record indicates for AMY L NICHOLAS (PA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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