NICHOLAS JORGE CORDOVA (PA-C) – Physician Assistant, NPI 1427513803
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in VA
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Provider Addresses for NICHOLAS JORGE CORDOVA (PA-C)
Teal Way, Williams, Colusa County, California, 95987-5105, United States
WILLIAMSBURG, VA 231881675
Phone: (757) 903-7664
Type: Location
1840 AMHERST ST
WINCHESTER, VA 226012808
Phone: (540) 536-8700
Fax: (540) 536-7800
Type: Location
1867 Amherst St
Winchester, VA 226012864
Phone: (757) 903-7664
Type: Location
759 S Main St
Woodstock, VA 226641154
Phone: (540) 459-1100
Fax: (540) 459-1121
Type: Location
1867 AMHERST ST
WINCHESTER, VA 226012864
Phone: (757) 903-7664
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $192.
Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Amgen Inc. ($125).
Total Amount
$192
General + Research + Ownership
Payments
2
Total payment records
General Amount
$192
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $125 |
| Grifols USA, LLC | $66 |
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: 2020-05-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200506000426 | I | Physician Assistant | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 97 | 97 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 60 | 60 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 20 | $0 |
Insurance plans in this area (ZIP 23188)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | VA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Marriage And Family Therapist | NY | |
| Clinical Psychologist | VA | |
| Physical Medicine And Rehabilitation | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| - | VA | |
| - | VA | |
| U R O L O G Y | VA | |
| Nurse Practitioner | MD |
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