Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356998926 Individual Practitioner Male Practitioner

John William Nickens , PA-C

Physician Assistant • Pearl Harbor, HI

Professional Overview & Biography Verified Profile Summary

John Nickens, PA-C is a registered healthcare professional specializing in Physician Assistant in Pearl Harbor, HI. Practice services are available at 480 CENTRAL AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

480 Central Ave

Pearl Harbor, HI 968604908

Telephone 8083662482
Associated Practice Facility / Clinic
🏢 U.s. Navy Facility NPI 1932182052

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pearl Harbor, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Pearl Harbor, HI (389 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
22.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
37 35 $86.24 $77.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
35 35 $142.28 $99.69
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
20 19 $43.75 $34.62

Medical Specialties & State Licenses

CMS Verified: 2026-03-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003246497

Doctor of Philosophy (Ph.D.)

NPI 1003802323

Master of Science, Master of Public Health, CCCA

NPI 1003802976

HM2, PTTEHCNICIAN

NPI 1013271204

Doctor of Optometry

Demetrius Pruitt , APRN

Nurse Practitioner - Family

NPI 1013404144

Advanced Practice Registered Nurse

Taylor Stubblefield , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1013663129

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 21, 2022

Registered at 480 CENTRAL AVE, PEARL HARBOR, HI 968604908 (Tel: 8083662482)

📍
Updated Business Mailing Address July 21, 2022

Registered at 480 CENTRAL AVE, PEARL HARBOR, HI 968604908 (Tel: 8084744242)

📍
Updated Practice Location January 20, 2021

Registered at 2180 MAIN ST, WAILUKU, HI 967931625 (Tel: 8083662482)

📍
Updated Business Mailing Address January 20, 2021

Registered at 2180 MAIN ST, WAILUKU, HI 967931625 (Tel: 8082426464)

👤
Provider Name / Credentials Updated January 20, 2021

Recorded as JOHN NICKENS, PA-C

NPI Profile Active August 20, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2019

Registered at 2223 BENSON RD S APT D202, RENTON, WA 980554339 (Tel: 8083662482)

📍
Updated Business Mailing Address August 20, 2019

Registered at 2223 BENSON RD S APT D202, RENTON, WA 980554339 (Tel: 8083662482)

👤
Provider Name / Credentials Updated August 20, 2019

Recorded as JOHN NICKENS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356998926
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2019
Last Update: March 18, 2026
Sole Proprietor: Yes

Mailing Address

480 Central Ave

Pearl Harbor, HI 968604908

Phone: 8084744242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.