Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023419504 Individual Practitioner Female Practitioner

Nicole Leigh Niese , PA-C

Physician Assistant • Oregon, OH

Professional Overview & Biography Verified Profile Summary

Nicole Niese, PA-C is a registered healthcare professional specializing in Physician Assistant in Oregon, OH. Practice services are available at 3028 NAVARRE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3028 Navarre Ave

Oregon, OH 436163308

Telephone 4196976850
Fax 4196976861
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oregon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
12 Specialists

Practicing in Oregon, OH (5376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 004102

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

3 Associated Practitioners
Trevor Justus

Physical Therapy Assistant

NPI 1336684760
Dr. Todd Meredith , MD

General Practice

NPI 1841283272

Doctor of Medicine (M.D.)

Dr. Thomas Lieser , MD

Preventive Medicine - Occupational Medicine

NPI 1912929159

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2017

Registered at 3028 NAVARRE AVE, OREGON, OH 436163308 (Tel: 4196976850)

📍
Updated Business Mailing Address January 30, 2017

Registered at 232 N WYNN RD, OREGON, OH 436161542 (Tel: 3045320943)

👤
Provider Name / Credentials Updated January 30, 2017

Recorded as NICOLE NIESE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2017

Physician Assistant (License #004102 in OH)

NPI Profile Active September 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2014

Registered at 3028 NAVARRE AVE, OREGON, OH 436163308 (Tel: 4196976850)

📍
Updated Business Mailing Address September 15, 2014

Registered at 232 N WYNN RD, OREGON, OH 436161542 (Tel: 3045320943)

👤
Provider Name / Credentials Updated September 15, 2014

Recorded as NICOLE GWISDALLA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2014

Physician Assistant (License #004102 in OH)

🟢
Initial NPI Registration & Enumeration September 15, 2014

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: 1023419504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2014
Last Update: February 08, 2021
Sole Proprietor: No

Mailing Address

232 N Wynn Rd

Oregon, OH 436161542

Phone: 3045320943

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.