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

Nickolas Lee Sitter

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205502994

Nickolas Lee Sitter is a Physician Assistant in Prague, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2023, 3 years ago. Practices with Prague Healthcare Authority, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
3
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1322 Klabzuba Ave
Prague, OK 74864-4900
Phone: (405) 567-2295
Show map & directions

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

Additional practice locations (1)

  • 8443 E 81st St Apt 627, Tulsa, OK 74133-8045 — (405) 432-7273

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5202 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205502994
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2021
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024
Mailing address42711 Crimson Ln, Shawnee, OK 74804-9371

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Prague Healthcare Authority — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount