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

Nicholas Joseph Reist, PA

Individual provider Physician Assistant · NPI 1922463918

Nicholas Joseph Reist, PA is a Physician Assistant in Edgewood, Kentucky. Qualified in 2015, 11 years ago. Practices with Orthocincy Orthopaedics and Sports Medicine PSC, a 164-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
11
Licensed in
KY, OH
In the registry since
2015
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

560 S Loop Rd
Edgewood, KY 41017-3405
Phone: (859) 301-2663
Fax: (859) 817-7848
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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 PA2424 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 50 004628RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence TC752 (KY)

Record details

NPI number1922463918
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 18, 2015
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Orthocincy Orthopaedics And Sports Medicine Psc — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Edgewood