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Nicholas Cary Newman

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as NICHOLAS NEWMAN.

Based on the most recent information from CMS, provider Nicholas Cary Newman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1063991743
Provider Type
Individual
Full Name
Newman, Nicholas Cary
Credential
PA

Gender
Male
Sole Proprietor
No
Enumeration Date
8/13/2018
Last Updated
11/9/2021

Contact Information

Practice Location

190 E Bannock St, Boise, ID 83712-6241

(208) 384-9022

Unlisted Fax

Mailing Location

3080 E Gentry Way Ste 210, Meridian, ID 83642-3013

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Nicholas Cary Newman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Manko, Marc

Blea, Kacey

Davis, Brittney

Chism, Sarah

Hague, Natalie Marie

Box, Nicholas J

Murphy, Caroline

Ambrosier, Amy M

Idaho Surgical Assistants Pllc

Mcdowell, Elizabeth