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Nicklaus Deevers

NPI 1285203158ActiveIndividual· Physician Assistant· Newark, NJ

Physician Assistant with Urgent Care Solutions Glendale PC and 1 other group, practicing in Newark, New Jersey. 220 Medicare patients in 2024, $21,878 paid; nearly all of their 110 Part D prescriptions were generic (92%).

Overview

NPI1285203158
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 23, 2021
Last updated in NPPESJun 23, 2021
Certified by providerJun 23, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (CO); Practitioner - Physician Assistant (NJ)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients220
Services billed319 across 36 procedure codes
Paid by Medicare$21,878

Part D prescriptions in 2024

Prescriptions (claims)110 · 110 30-day fills
Patients97
Total drug cost$1,269
Generic share92% of claims

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyPhysician Assistant

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Newark

All 84 physician assistants in Newark · All physician assistants in New Jersey