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Active NPI 1407204811 Individual Practitioner Male Practitioner

Benjamin Nichols

Physician Assistant • Walla Walla, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Benjamin Nichols is a certified Physician Assistant practicing in Walla Walla, WA. With approximately 10 years of clinical experience since completing medical education in 2016, Benjamin Nichols delivers high-quality medical care to the local community at 1120 W ROSE ST.

Benjamin Nichols is affiliated with Yakima Valley Farm Workers Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include adm sarscov2 100mcg/0.5ml2nd, adm sarscov2 100mcg/0.5ml1st. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1120 W Rose St

Walla Walla, WA 993621662

Telephone 5095256650
Fax 5095222349
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Walla Walla, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -0.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
29 Specialists

Practicing in Walla Walla, WA (3774 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nichols (10 Years) 10 Yrs
Walla Walla Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
0012A Adm sarscov2 100mcg/0.5ml2nd
12 11 $44.42 $33.92
0011A Adm sarscov2 100mcg/0.5ml1st
11 11 $40.55 $22.07

Medical Specialties & State Licenses

CMS Verified: 2021-03-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60694546

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.

Hospital & Practice Group Affiliations

Yakima Valley Farm Workers Clinic

510 W 1st Ave, Toppenish, WA 989481564

Phone: 5098655600

Yakima Valley Farm Workers Clinic

1120 W Rose St, Walla Walla, WA 993621662

Phone: 5095256650

Practice Associates & Co-Workers

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

32 Associated Practitioners
Susan Laabs , RN

Registered Nurse - Community Health

NPI 1023474624

Registered Nurse

Sherry Goff

Registered Nurse - Community Health

NPI 1073926200
Fnu Nisina

Dentist

NPI 1083391684
Erin Fletcher , PA STUDENT

Physician Assistant

NPI 1164195038

PASTUDENT

Dr. Barry Kellogg , MD

Family Medicine

NPI 1164511606

Doctor of Medicine (M.D.)

Bob Daniel

Pharmacist

NPI 1205136579

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated March 22, 2021

Recorded as BENJAMIN NICHOLS

NPI Profile Active November 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2016

Registered at 1120 W ROSE ST, WALLA WALLA, WA 993621662 (Tel: 5095256650)

📍
Updated Business Mailing Address November 16, 2016

Registered at 1120 W ROSE ST, WALLA WALLA, WA 993621662 (Tel: 5095256650)

👤
Provider Name / Credentials Updated November 16, 2016

Recorded as BENJAMIN NICHOLS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2016

Physician Assistant (License #PA60694546 in WA)

🟢
Initial NPI Registration & Enumeration May 25, 2016

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: 1407204811
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2016
Last Update: March 22, 2021
Sole Proprietor: No

Mailing Address

1120 W Rose St

Walla Walla, WA 993621662

Phone: 5095256650

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.