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

Benjamin Nichols

Individual provider Physician Assistant · NPI 1407204811

Benjamin Nichols is a Physician Assistant in Walla Walla, Washington. Qualified in 2016, 10 years ago. Practices with Yakima Valley Farm Workers Clinic, a 276-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2016
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Practice location Address checks out

1120 W Rose St
Walla Walla, WA 99362-1662
Phone: (509) 525-6650
Fax: (509) 522-2349
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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 PA60694546 (WA)

Record details

NPI number1407204811
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 25, 2016
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address1120 W Rose St, Walla Walla, WA 99362-1662

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Yakima Valley Farm Workers Clinic — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Walla Walla