NPPES file of Aug 9, 2026

John David Nicholson, PA

Physician Assistant · Philadelphia, PA

John David Nicholson, PA is a physician assistant with a practice address in Philadelphia, Pennsylvania, and NPI 1790095933, issued on Oct 20, 2010. Check the license (Pennsylvania MA001440L, as entered in NPPES) with the Pennsylvania board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1790095933
Name
John David Nicholson
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License number
MA001440L PA
Self-reported in NPPES; status is on the state search
Practice location
111 N 49TH St, Philadelphia, PA 19139
Phone
(215) 471-2488
Enumerated
Oct 20, 2010
Record last updated
Oct 20, 2010 (not updated in 16 years: call before relying on the address or phone)
Fax
(215) 471-2897
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 111 N 49TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Iona BargePsychiatric/Mental Health Nurse Practitioner1427812189
  2. Fred Baurer, M.D.Addiction Psychiatry Physician1477676328
  3. Allison Boatright, DNP, PMHNPPsychiatric/Mental Health Nurse Practitioner1134952260
  4. Erica Brendel, MDPsychiatry Physician1861676801
  5. Mercedes Dettra, PMHNPPsychiatric/Mental Health Nurse Practitioner1346066859
  6. Chinyere Enyia, CRNPFamily Nurse Practitioner1700360724

Verify John David Nicholson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
    Search for license MA001440L
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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John David Nicholson among 8,020 physician assistant records in Pennsylvania

John David Nicholson, PA is one of 8,020 physician assistant records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2010, is newer than 25% of them.

  • NPI issued2010 · 25% of these records are older, 73% newer
  • In a Medicare fileNo · 80% of these records are
  • In the CMS Doctors and Clinicians fileNo · 66% of these records are
  • Record last updated2010 · 42% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

955 physician assistant records list a practice address in Philadelphia

They are 955 of the 42,849 NPPES records with a practice address in Philadelphia, and 8,020 physician assistant records in Pennsylvania. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 physician assistant records with the nearest ZIP codes

  1. John Behrend, PA-CPhiladelphia, PA 191401104043769
  2. Tamara Boucher, PA-CPhiladelphia, PA 191401578728275
  3. Perry Cain, PA-CPhila, PA 191401649257528
  4. Leah Evans, PA-CPhiladelphia, PA 191401649445875
  5. Beverly Isaac, PAPhiladelphia, PA 191401285825943
  6. David Isgan, PA-CPhiladelphia, PA 191401285809434
  7. Marta Jaramillo, PA CPhiladelphia, PA 191401548247414
  8. Michelle Kwok, PAPhiladelphia, PA 191401891720793

Common questions

What is John David Nicholson, PA's NPI number?

John David Nicholson, PA's National Provider Identifier (NPI) is 1790095933, issued on Oct 20, 2010. An NPI identifies a provider in billing; it is not a license.

Where is John David Nicholson, PA located?

The NPPES record lists a practice address at 111 N 49TH St, Philadelphia, PA, 19139. Phone: (215) 471-2488. Providers update this record themselves, so call before visiting.

How can I verify John David Nicholson, PA's license?

NPPES lists Pennsylvania license number MA001440L, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.