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

Daniel Nathan Nichols, PA-C

Individual provider Physician Assistant · NPI 1043595911

Daniel Nathan Nichols, PA-C is a Physician Assistant in Cleveland, Ohio. Qualified in 2011, 15 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Idaho and New York.

Years since qualifying
15
Licensed in
FL, ID, NY
In the registry since
2011
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone: (216) 778-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 Meadows Rd, Boca Raton, FL 33486-2304 — (561) 955-7100
  • 190 E Bannock St Fl 10, Boise, ID 83712-6241 — (208) 381-5500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015383-1 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA9119112 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 2271845 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 015383-1 (NY)

Record details

NPI number1043595911
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 11, 2011
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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