Coryn I Nicholls, PA-C - Medicare Physician Assistant in Walnut Creek, CA

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Coryn I Nicholls, PA-C is a medicare enrolled "Physician Assistant" in Walnut Creek, California. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Northbay Physicians Surgery Center, Llc, Northbay Health Medical Foundation, Urgent Care Plus Telehealth Inc and her current practice location is 1601 Ygnacio Valley Rd, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (925) 947-5399.

Coryn I Nicholls is licensed to practice in California (license number PA19606) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487832739.

Contact Information

Coryn I Nicholls, PA-C
1601 Ygnacio Valley Rd,
Walnut Creek, CA 94598-3122
(925) 947-5399
Not Available

Map and Direction




Provider's Profile

Full NameCoryn I Nicholls
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
Location1601 Ygnacio Valley Rd, Walnut Creek, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Coryn I Nicholls graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1487832739
  • Provider Enumeration Date: 02/07/2008
  • Last Update Date: 12/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4183703580
  • Enrollment ID: I20080510000108

Medical Identifiers

Medical identifiers for Coryn I Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487832739NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA19606 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northbay Physicians Surgery Center, Llc0042122244336
Northbay Health Medical Foundation3274010871207
Urgent Care Plus Telehealth Inc094163012327

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Coryn I Nicholls allows following entities to bill medicare on her behalf.
Entity NameNorthbay Physicians Surgery Center, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821147786
PECOS PAC ID: 0042122244
Enrollment ID: O20031105000409
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameUrgent Care Plus Telehealth Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568082774
PECOS PAC ID: 0941630123
Enrollment ID: O20200501000807
Entity NameNorthbay Health Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760283527
PECOS PAC ID: 3274010871
Enrollment ID: O20260127000299

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Coryn I Nicholls is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Coryn I Nicholls, PA-C
1601 Ygnacio Valley Rd,
Walnut Creek, CA 94598-3122

Ph: (925) 947-5399		Coryn I Nicholls, PA-C
1601 Ygnacio Valley Rd,
Walnut Creek, CA 94598-3122

Ph: (925) 947-5399

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.