Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John Paul Nickolite, PA-C

Individual provider Surgical Physician Assistant · NPI 1861442139

Mr. John Paul Nickolite, PA-C is a Physician Assistant in Omaha, Nebraska. Qualified in 1991, 35 years ago. Practices with Orthowest, LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
35
Licensed in
NE
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2725 S 144th St Ste 212
Omaha, NE 68144-5253
Phone: (402) 637-0800
Fax: (402) 637-0808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 488 (NE)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 488 (NE)

Record details

NPI number1861442139
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Orthowest, Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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