Nicole Vital, PA-C
NPI 1720536378ActiveIndividual· Physician Assistant· Matthews, NC
Physician Assistant (PA-C) with Carolina Medicorp Enterprises LLC, practicing in Matthews, North Carolina. 55 Medicare patients in 2024, $4,376 paid; nearly all of their 81 Part D prescriptions were generic (93%).
Overview
| NPI | 1720536378 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 12, 2016 |
| Last updated in NPPES | Aug 3, 2021 |
| Certified by provider | Aug 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 | 55 |
|---|---|
| Services billed | 106 across 21 procedure codes |
| Paid by Medicare | $4,376 |
Part D prescriptions in 2024
| Prescriptions (claims) | 81 · 95 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $2,407 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Carolina Medicorp Enterprises LLCBlack Mountain, NC · 179 clinicians
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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All 83 physician assistants in Matthews · All physician assistants in North Carolina