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

Nickolas Alexander Reviello

Individual provider Physician Assistant · NPI 1821765272

Nickolas Alexander Reviello is a Physician Assistant in Dickson City, Pennsylvania. Qualified in 2021, 5 years ago. Practices with UNC Physicians Group Practices II LLC, a 60-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021

Practice location Address checks out

334 Main St Ste 1
Dickson City, PA 18519-1668
Phone: (570) 307-1767
Show map & directions

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

Additional practice locations (1)

  • 851 S Main St, Holly Springs, NC 27540-8907 — (919) 346-8651

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA062756 (PA)

Record details

NPI number1821765272
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address74 Douglas Dr, Covington Township, PA 18424-7825

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 Unc Physicians Group Practices Ii Llc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dickson City