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

Nicole Alise Meyer, PA-C

Individual provider Physician Assistant · NPI 1124800313

Nicole Alise Meyer, PA-C is a Physician Assistant in Klamath Falls, Oregon. Qualified in 2024, 2 years ago. Practices with Sky Lakes Medical Center Inc, a 197-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2023
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

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone: (541) 591-1164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA223575 (OR)

Record details

NPI number1124800313
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2023
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Sky Lakes Medical Center Inc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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