NICHOLAS E AUSTIN (PA) – Physician Assistant, NPI 1063069383

NICHOLAS E AUSTIN (PA) is a healthcare provider. based in Longview, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA60947788 (WA). The NPI Number for NICHOLAS E AUSTIN (PA) is 1063069383

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS E AUSTIN (PA)
NPI
1063069383
Phone
(360) 423-0390
Address
PO BOX 1338
Enumeration Date
21 August 2019
Last Update Date
21 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604239580
Graduation Year
2019 (7 years ago)
PAC ID
2769814912
Group Practice PAC ID
3375536436
Professional Enrollment ID
I20191109000025
Address ID
WA986322952LO1706XWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for NICHOLAS E AUSTIN (PA)

  • Toms Creek/Hunt Club Southbound, Toms Creek Road, Longview Estates, Stonegate, Blacksburg, Montgomery County, Virginia, 24061, United States

    LONGVIEW, WA 986327785

    Phone: (360) 423-0390

    Fax: (360) 577-3865

    Type: Mailing

  • 1706, Washington Way, Longview, Cowlitz County, Washington, 98632, United States

    LONGVIEW, WA 986322952

    Phone: (360) 423-0390

    Fax: (360) 577-3865

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 135 Open Payments records for all available years, with a total value of $2,662.

Total Amount is formed as General ($2,662) + Research ($0) + Ownership ($0) = $2,662.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($312).

Total Amount

$2,662

General + Research + Ownership

Payments

135

Total payment records

General Amount

$2,662

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2019-11-09

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
I20191109000025IPhysician AssistantWATBD

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 minutes3633$0
36415Insertion of needle into vein for collection of blood sample1212$0
View full utilization report →

Insurance plans in this area (ZIP 98632)

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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: 3375536436View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalWA
-WA
Physician AssistantCO
Family PracticeWA
Internal Medicine, Cardiovascular Disease (Cardiology)AZ
-TN
Physician AssistantWA
-WA
Physician AssistantWA
Internal MedicineWA

Reviews

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Frequently asked questions

Is NICHOLAS E AUSTIN (PA) listed with a National Provider Identifier?
Yes — NICHOLAS E AUSTIN (PA) has NPI 1063069383 on file in the registry.
Active or inactive — what applies to NICHOLAS E AUSTIN (PA)?
You should see NICHOLAS E AUSTIN (PA) as active in CMS-hosted NPPES data.
What kind of doctor is NICHOLAS E AUSTIN (PA)?
NICHOLAS E AUSTIN (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is NICHOLAS E AUSTIN (PA) located near Longview?
NICHOLAS E AUSTIN (PA) currently maps to Longview, Washington in this extract.
Does NICHOLAS E AUSTIN (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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