Nicole Wydra, PA-C
NPI 1962514836 · Medical Physician Assistant · Corvallis, OR
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Wydra, PA-C is a Medical Physician Assistant provider in Corvallis, OR (NPI 1962514836).
Provider details
- NPI number
- 1962514836
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA153450 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,631 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 390 | $77 |
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 353 | $6 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 211 | $46 |
| Destruction of Skin Growth, 1-14 Growths17110 | 136 | $94 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 129 | $48 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clobetasol Propionate | 107 | 61 |
| Tacrolimus | 52 | 24 |
| Triamcinolone Acetonide | 45 | 34 |
| Ketoconazole | 37 | 15 |
| Fluorouracil | 36 | 34 |
| Dupilumabbrand: Dupixent Pen | 35 | — |
| Ciclopirox | 30 | 14 |
| Fluocinonide | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,001 across 108 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2015-11-03
Frequently asked questions
- What is Nicole Wydra's NPI number?
- Nicole Wydra's National Provider Identifier (NPI) is 1962514836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wydra's specialty?
- Nicole Wydra is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Wydra located?
- Nicole Wydra's practice location on file with NPPES is 1740 Nw 9th St, Corvallis, OR 97330-2141.
- What is Nicole Wydra's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wydra is (541) 230-1350.
- Does Nicole Wydra accept Medicare?
- Nicole Wydra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Wydra's NPI active?
- Yes — Nicole Wydra's NPI (1962514836) is active in the NPPES registry as of the last update on 2015-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.