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

Nick Jansen, PA-C

Individual provider Medical Physician Assistant · NPI 1306193727

Nick Jansen, PA-C is a Physician Assistant in Rota, Northern Mariana Islands. Qualified in 2012, 14 years ago. Practices with Commonwealth Healthcare Corporation, a 80-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
14
Licensed in
OK
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Songsong Vlg
Rota, MP 96951-1249
Phone: (670) 532-9461
Fax: (670) 532-0698

Additional practice locations (1)

  • 31870 E State Highway 51, Coweta, OK 74429-7900 — (918) 279-3200

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2161 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306193727
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 6, 2012
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025
Mailing addressPo Box 1249, Rota, MP 96951-1249

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Commonwealth Healthcare Corporation — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare