Nicholas Paul Cordell, is a
Physician Assistant based in New Plymouth, Idaho. Nicholas Paul Cordell is licensed to practice in * (Not Available) (license number ) and his current practice location is
3818 Vista Ridge Ln, New Plymouth, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 949-4440.
NPI number for Nicholas Paul Cordell is 1093683534 and his current mailing address is 3818 Vista Ridge Ln, New Plymouth, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093683534.
Provider's Profile
| Full Name | Nicholas Paul Cordell |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 3818 Vista Ridge Ln, New Plymouth, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093683534
- Provider Enumeration Date: 10/27/2025
- Last Update Date: 10/27/2025
Medical Identifiers
Medical identifiers for Nicholas Paul Cordell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093683534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Nicholas Paul Cordell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicholas Paul Cordell,
3818 Vista Ridge Ln,
New Plymouth, ID 83655-5002
Ph: (208) 949-4440 | Nicholas Paul Cordell,
3818 Vista Ridge Ln,
New Plymouth, ID 83655-5002
Ph: (208) 949-4440 |
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