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

Nicole M Woolley, PA-C

Individual provider Physician Assistant · NPI 1053938134

Nicole M Woolley, PA-C is a Physician Assistant in Warren, Ohio. Qualified in 2020, 6 years ago. Practices with Optima Dermatology LLC, a 74-clinician group and accepts Medicare assignment. Licensed in Ohio and Pennsylvania.

Years since qualifying
6
Licensed in
OH, PA
In the registry since
2020
Specialties on file
2
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

2223 Niles Cortland Rd SE
Warren, OH 44484-3043
Phone: (330) 965-8760
Fax: (330) 469-9706
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006478RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence MA061723 (PA)

Record details

NPI number1053938134
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESMay 17, 2026
Certification dateMay 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Optima Dermatology Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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