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

Kyrie Jae Nicolds, PA-C

Individual provider Physician Assistant · NPI 1598446437

Kyrie Jae Nicolds, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2025, 1 year ago. Practices with Prescott Healthcare Solutions LLC, a 199-clinician group, works from 7 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

26224 N Tatum Blvd Ste 15A
Phoenix, AZ 85050-7500
Phone: (486) 663-9632
Fax: (623) 748-1914
Show map & directions

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

Additional practice locations (6)

  • 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122-5759 — (520) 836-5538
  • 725 W Elliot Rd Ste 105, Gilbert, AZ 85233-5301 — (480) 963-6144
  • 4365 E Pecos Rd Ste 134, Gilbert, AZ 85295-8053 — (480) 840-9155
  • 3336 E Chandler Heights Rd Ste 135, Gilbert, AZ 85298-4259 — (480) 988-4645
  • 4135 S Power Rd Ste 129, Mesa, AZ 85212-3627 — (480) 751-3091
  • 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142-5995 — (480) 987-5525

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11229 (AZ)

Record details

NPI number1598446437
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Prescott Healthcare Solutions Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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