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

MS. Nicole M Dwyer, PA

Individual provider Physician Assistant · NPI 1780860908

MS. Nicole M Dwyer, PA is a Physician Assistant in Lewiston, Idaho. Qualified in 2009, 17 years ago. Practices with Grant County Public Hospital District No 3, a 62-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
17
Licensed in
ID
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

415 6th St
Lewiston, ID 83501-2434
Phone: (208) 750-7507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 W A St Ste 101, Moscow, ID 83843-6000 — (208) 882-0540

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1980 (ID)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-1980 (ID)

Record details

NPI number1780860908
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 17, 2008
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Grant County Public Hospital District No. 3 — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Lewiston