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

Nicole Surman, PA

Individual provider Athletic Trainer · NPI 1487052130

Nicole Surman, PA is a Physician Assistant in Surprise, Arizona. Qualified in 2025, 1 year ago. Practices with Richard Lee Averitte Jr PLLC, a 32-clinician group and accepts Medicare assignment. Licensed in Arizona and Ohio.

Years since qualifying
1
Licensed in
AZ, OH
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13995 W Statler Blvd Ste 150
Surprise, AZ 85374-5512
Phone: (805) 560-4464
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11106 (AZ)
Athletic Trainer Taxonomy 2255A2300X · Licence 003678 (OH)

Record details

NPI number1487052130
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 11, 2014
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Richard Lee Averitte Jr Pllc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Surprise