Kathleen Miles Nikodym, PA
Kathleen Miles Nikodym, PA is a Physician Assistant in Saint Charles, Missouri. Qualified in 2001, 25 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 25
- Licensed in
- MO
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
400 1st Capitol Dr Ste 100Saint Charles, MO 63301-2881
Phone: (636) 332-8455
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1150 Graham Rd, Florissant, MO 63031-8077 — (314) 837-5555
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2002004796 (MO) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 2002004796 (MO) |
Record details
| NPI number | 1235210162 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | October 18, 2006 |
| Last updated in NPPES | July 23, 2025 |
| Certification date | July 23, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Ssm Medical Group Inc — 560 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Saint Charles
-
Donnan Assisting LLC
516 Caulks Hill Rd, Saint Charles, MO 63304-7430 · (314) 210-9925