Tiffany Nickerson
NPI 1336693605ActiveIndividual· Physician Assistant· Atascadero, CA
Physician Assistant with Yakima Valley Farm Workers Clinic, practicing in Atascadero, California. Their prescriptions cost Medicare Part D more than their services did: $191,329 for 2,625 claims, against $1,017 paid for services in 2024. Lists Good Shepherd Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1336693605 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 4, 2016 |
| Last updated in NPPES | Aug 10, 2026 |
| Certified by provider | Aug 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA68366 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 25 across 8 procedure codes |
| Paid by Medicare | $1,017 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,625 · 5,030 30-day fills |
|---|---|
| Patients | 256 |
| Total drug cost | $191,329 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Yakima Valley Farm Workers ClinicToppenish, WA · 273 clinicians
Hospital affiliations
- Good Shepherd Medical CenterHermiston, OR
- St Anthony HospitalPendleton, OR
Other facilities
- Good Shepherd Home HealthHome health agency · Hermiston, OR
- Vange John Memorial HospiceHospice · Hermiston, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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