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

Nicole Jean Carroll, PA

Individual provider Medical Physician Assistant · NPI 1336321827

Nicole Jean Carroll, PA is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2007, 19 years ago. Practices with Southwest Orthopaedic Specialists, PLLC, a 21-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
19
Licensed in
OK
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8100 S Walker Ave Bldg A
Oklahoma City, OK 73139-9475
Phone: (405) 632-4468
Fax: (405) 632-0436
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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 1665 (OK)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1665 (OK)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1665 (OK)

Record details

NPI number1336321827
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 27, 2007
Last updated in NPPESApril 23, 2019

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 Southwest Orthopaedic Specialists, Pllc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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