Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Nickerson, PA

Individual provider Physician Assistant · NPI 1730691429

Andrew Nickerson, PA is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2017, 9 years ago. Practices with Springfield Medical Care Systems Inc, a 51-clinician group and accepts Medicare assignment. Licensed in New Hampshire and Texas.

Years since qualifying
9
Licensed in
NH, TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Partly verified

Some contact details are missing from the federal record.

One Medical Center Dr
Lebanon, NH 03756-0001
Phone: (603) 653-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1753 (NH)
Physician Assistant Taxonomy 363A00000X · Licence PA11564 (TX)

Record details

NPI number1730691429
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 2, 2017
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Springfield Medical Care Systems Inc. — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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