Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Heather Nickerson, MSPA-C

Individual provider Surgical Physician Assistant · NPI 1669889481

Heather Nickerson, MSPA-C is a Physician Assistant in New London, Connecticut. Qualified in 2014, 12 years ago. Practices with Elliot Professional Services, a 424-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2014
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Practice location Address checks out

365 Montauk Ave
New London, CT 06320-4700 Not confirmed with CMS for 12 years — call before visiting
Phone: (508) 560-0011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 3135 (CT)

Record details

NPI number1669889481
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPA-C
Sole proprietorYes
NPI enumeratedJuly 14, 2014
Last updated in NPPESJuly 14, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Elliot Professional Services — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients37
Services billed 44 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Elliot Professional Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 424 clinicians in the practice; 12 are shown here.

Other providers in New London