Nichole Susanna Fortin, PA
NPI 1558668210ActiveIndividual· Physician Assistant· Greenville, SC
Physician Assistant (PA) in Greenville, South Carolina, licensed in SC, with an NPI issued in February 2011. 238 Medicare patients in 2024, $22,036 paid; nearly all of their 170 Part D prescriptions were generic (94%).
Overview
| NPI | 1558668210 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 16, 2011 |
| Last updated in NPPES | Apr 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2267 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 238 |
|---|---|
| Services billed | 274 across 12 procedure codes |
| Paid by Medicare | $22,036 |
Part D prescriptions in 2024
| Prescriptions (claims) | 170 · 170 30-day fills |
|---|---|
| Patients | 125 |
| Total drug cost | $2,506 |
| Generic share | 94% of claims |
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 Greenville
- 1003389438
- 1013321876
- 1013442417
- 1013572734
- 1013965094
- 1023046380
- 1023600749
- 1033178801
- 1033721881
- 1043640956
- 1043841646
- 1043970056
All 310 physician assistants in Greenville · All physician assistants in South Carolina