Katya Nichols
NPI 1821839952ActiveIndividual· Physician Assistant· Kirksville, MO
Physician Assistant with Primary Care Practice of Arizona PLLC, practicing in Kirksville, Missouri. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1821839952 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 3, 2024 |
| Last updated in NPPES | Jun 4, 2024 |
| Certified by provider | Jun 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 (AZ) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Primary Care Practice of Arizona PLLCGilbert, AZ · 27 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Kirksville
- 1497069694
- 1023563632
- 1063817435
- 1447651716
- 1710760426
- 1760939474