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

Dr. Jon Derek Nicassio, DO

Individual provider Family Medicine Physician · NPI 1083292585

Dr. Jon Derek Nicassio, DO is a Family Practice in North Huntingdon, Pennsylvania. Graduated from West Virginia School of Osteopathic Medicine in 2021, 5 years ago. Practices with Excela Health Physician Practices, Inc, a 473-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
PA
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

8791 Barnes Lake Rd Ste 101
North Huntingdon, PA 15642-3176
Phone: (724) 864-9400
Fax: (724) 864-8044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS023552 (PA)

Record details

NPI number1083292585
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 29, 2021
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address8791 Barnes Lake Rd Ste 101, North Huntingdon, PA 15642-3176

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Excela Health Physician Practices, Inc — 473 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in North Huntingdon