Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas S. Dichiara, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649883166

Nicholas S. Dichiara, PA-C is a Physician Assistant in Edmonds, Washington. Qualified in 2021, 5 years ago. Practices with Overlake Medical Clinics LLC, a 426-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2020
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

7320 216th St SW Ste 320
Edmonds, WA 98026-8006
Phone: (425) 673-3900
Fax: (425) 673-3910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA61224842 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649883166
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2020
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 2021 (5 years in practice)
Group practice Overlake Medical Clinics Llc — 426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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