MEDICARE: NICHOLAS ADDISON FIELD PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0010-16006	NC

General Provider Information

NPI Number	:	1275413312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS ADDISON FIELD PA-C

Provider Business Mailing Address
First Line	:	PO BOX 808800
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-8800
Country	:	US
Telephone Number	:	877-498-4490
Fax Number	:	919-350-7687

Provider Business Practice Location Address
First Line	:	23 SUNNYBROOK RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-1855
Country	:	US
Telephone Number	:	919-250-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	01/19/2026

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Directions to “ NICHOLAS ADDISON FIELD PA-C” Practice Location

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