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

Nichole Ann Waltz, PA

Individual provider Physician Assistant · NPI 1295995462

Nichole Ann Waltz, PA is a Physician Assistant in Charlotte, North Carolina. Qualified in 2007, 19 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

416 E 36th St Ste 200
Charlotte, NC 28205-1030
Phone: (980) 302-9800
Fax: (980) 302-9810
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (5)

  • 200 S College St, Charlotte, NC 28202-2012 — (704) 302-8800
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 302-8700
  • 15110 John J Delaney Dr, Charlotte, NC 28277-3544 — (704) 302-8100
  • 332 N Trade St, Matthews, NC 28105-1728 — (704) 302-8500
  • 11304 Hawthorne Dr, Mint Hill, NC 28227-9425 — (704) 545-6400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-01323 (NC)

Record details

NPI number1295995462
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 11, 2008
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Charlotte