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

Dr. Nickoline M Hathaway, MD

Individual provider Internal Medicine Physician · NPI 1629005749

Dr. Nickoline M Hathaway, MD is an Internal Medicine in Bishop, California. Graduated from Un of California, Irvine, College of Medicine in 1984, 42 years ago. Practices with Northern Inyo Healthcare District, a 107-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Trained at
Un of California, Irvine, College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

152 Pioneer Ln Ste C
Bishop, CA 93514-2563
Phone: (760) 873-7111
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G47705 (CA)

Record details

NPI number1629005749
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address152 Pioneer Ln, Suite C, Bishop, CA 93514-2563

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Northern Inyo Healthcare District — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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