Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole L Fetters, PA-C

Individual provider Physician Assistant · NPI 1679656920

Nicole L Fetters, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2000, 26 years ago. Practices with Medical Resource Management LLC, a 59-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
26
Licensed in
OK
In the registry since
2006
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

900 NE 10th St
Oklahoma City, OK 73104-5420
Phone: (405) 271-4311
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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 1102 (OK)

Record details

NPI number1679656920
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESJuly 3, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Medical Resource Management Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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