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Ashley Taylor Nickerson, PA

NPI 1336775766ActiveIndividual· Physician Assistant· Yuma, AZ

Physician Assistant (PA) in Yuma, Arizona, licensed in AZ, with an NPI issued in March 2020. Enrolled in Medicare as practitioner - physician assistant.

Overview

NPI1336775766
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedMar 17, 2020
Last updated in NPPESMar 17, 2020
Certified by providerMar 17, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X7795AZ

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 (AZ)

Medicare sources and data years

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 Yuma

All 48 physician assistants in Yuma · All physician assistants in Arizona