Nick Jansen, PA-C is a medicare enrolled "Physician Assistant - Medical" in Rota, Northern Mariana Islands. His current practice location is
Songsong Village, Rota, Northern Mariana Islands. You can reach out to his office (for appointments etc.) via phone at
(670) 532-9461.
Nick Jansen is licensed to practice in Oklahoma (license number 2161) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306193727.
Provider's Profile
| Full Name | Nick Jansen |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | Songsong Village, Rota, Northern Mariana Islands |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306193727
- Provider Enumeration Date: 08/06/2012
- Last Update Date: 10/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123266939
- Enrollment ID: I20130605000608
Medical Identifiers
Medical identifiers for Nick Jansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306193727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 2161 (Oklahoma) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Nick Jansen 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 |
|---|
Nick Jansen, PA-C
Po Box 1249,
Rota, MP 96951-1249
Ph: (670) 532-9461 | Nick Jansen, PA-C
Songsong Village,
Rota, MP 96951-1249
Ph: (670) 532-9461 |
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