Carlos A. Nieves III, PA-C
NPI 1821779067ActiveIndividual· Physician Assistant· Sheboygan, WI
Physician Assistant (PA-C) with St Vincent Hospital-Hospital Sisters-Third Order of St Francis and 2 other groups, practicing in Sheboygan, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $55,743 for 328 claims, against $25,126 paid for services in 2024. Lists St Marys Hospital Medical Ctr as a hospital affiliation.
Overview
| NPI | 1821779067 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Jul 31, 2023 |
| Last updated in NPPES | Jul 8, 2026 |
| Certified by provider | Jul 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 7802-23 | WI |
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 (MI); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 192 |
|---|---|
| Services billed | 729 across 15 procedure codes |
| Paid by Medicare | $25,126 |
Part D prescriptions in 2024
| Prescriptions (claims) | 328 · 365 30-day fills |
|---|---|
| Patients | 149 |
| Total drug cost | $55,743 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- St Vincent Hospital-Hospital Sisters-Third Order of St FrancisGreen Bay, WI · 603 clinicians
- St Nicholas Hospital-Sisters of the Third Order of St FrancisSheboygan, WI · 178 clinicians
- New Dermatology Group LtdIron Mountain, MI · 23 clinicians
Hospital affiliation
- St Marys Hospital Medical CtrGreen Bay, WI
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 43 physician assistants in Sheboygan · All physician assistants in Wisconsin