Nicholas Paul Cordell, is a medicare enrolled "Physician Assistant" in New Plymouth, Idaho. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. His current practice location is
3818 Vista Ridge Ln, New Plymouth, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 949-4440.
Nicholas Paul Cordell is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093683534.
Provider's Profile
| Full Name | Nicholas Paul Cordell |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 3818 Vista Ridge Ln, New Plymouth, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicholas Paul Cordell graduated from nursing school in 2025
NPI Data:
- NPI Number: 1093683534
- Provider Enumeration Date: 10/27/2025
- Last Update Date: 10/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961979836
- Enrollment ID: I20260428002903
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 |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
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
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 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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