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

Nicole Thomas, PA-C

Individual provider Physician Assistant · NPI 1104667393

Nicole Thomas, PA-C is a Physician Assistant in Havertown, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Pinnacle ENT Alliance LLC, a 70-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2024
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

301 W Chester Pike Ste 101
Havertown, PA 19083-4530
Phone: (610) 446-6900
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA065449 (PA)

Record details

NPI number1104667393
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pinnacle Ent Alliance Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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