Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nicole Denise Rota , PA-C

Physician Assistant • Pullman, WA

Active NPI 1265685762 Individual Practitioner Female Practitioner
Practice location in NPPES

1125 Se Washington St
Pullman, WA 991640001

Call 5093353575 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1125 Se Washington St

Pullman, WA 991640001

Telephone 5093353575
Fax 5093358214
Organization at the Same NPPES Address or Phone
Washington State University Facility NPI 1285713776

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Boise, ID. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare patients

52 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $4,599 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $1,306 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

1,001 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$7,753 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $70.82 across 4 records.

By nature of payment

  • Food and Beverage: $70.82 across 4 records.

Reporting-company totals (3 largest of 4)

  • Avadel CNS Pharmaceuticals, LLC: $21.38 across 1 record.
  • Fisher & Paykel Healthcare Inc: $17.64 across 1 record.
  • Axsome Therapeutics, Inc.: $16.47 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nicole Rota has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Nicole Rota as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pullman and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.

Too few clinicians listed under Physician Assistant in Pullman have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $16,952. Middle half: $6,879 to $34,613.

Too few clinicians listed under Physician Assistant in Pullman have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 90% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $12,488. Middle half: $4,857 to $25,122.

Too few clinicians listed under Physician Assistant in Pullman have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.

Too few clinicians listed under Physician Assistant in Pullman have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.

Too few clinicians listed under Physician Assistant in Pullman have Medicare Part D data for 2024 to compare.

7 active clinicians are listed under Physician Assistant with a practice address in Pullman, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $70.82.

Manufacturer Payment Nature Product Type Amount ($)
Avadel CNS Pharmaceuticals, LLC
Food and Beverage
In-kind items and services
LUMRYZ General $21.38
Fisher & Paykel Healthcare Inc
Food and Beverage
In-kind items and services
FISHER & PAYKEL HEALTHCARE General $17.64
Axsome Therapeutics, Inc.
Food and Beverage
In-kind items and services
Sunosi General $16.47
HARMONY BIOSCIENCES LLC
Food and Beverage
Cash or cash equivalent
WAKIX General $15.33

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
38 38 $298.75 $98.72
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
12 12 $210.70 $70.63

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Gabapentin Gabapentin 222 16,169 $3,374.81 88
Trazodone Hcl Trazodone Hcl 97 7,000 $607.46 35
Ropinirole Hcl Ropinirole Hcl 43 3,539 $822.12 19
Modafinil Modafinil 26 840 $2,421.33 —
Pramipexole Dihydrochloride Pramipexole Di-Hcl 22 1,885 $429.48 —
Zolpidem Tartrate Zolpidem Tartrate 17 546 $97.96 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA61529253

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES ID PA-780
Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES ID PA-780

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20081119000259

Enrollment State Jurisdiction

ID

PECOS Control ID

8426118597

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

7272 W Potomac Dr

Boise, ID 837049149

Phone: 2088842922

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1891996054

Doctor of Medicine (M.D.)

Dr. William Gibson , NP, PhD

Nurse Practitioner - Psychiatric/Mental Health

NPI 1467408815

Nurse Practitioner, Doctor of Philosophy (Ph.D.)

NPI 1255304499

Doctor of Medicine (M.D.)

NPI 1477526580

Doctor of Medicine (M.D.)

Derek Titus

Family Medicine

NPI 1013505684

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
📍
Updated Practice Location May 02, 2024

Registered at 1125 SE WASHINGTON ST, PULLMAN, WA 991640001 (Tel: 5093353575)

📍
Updated Business Mailing Address May 02, 2024

Registered at 1125 SE WASHINGTON ST, PULLMAN, WA 991640001 (Tel: 5093353575)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2024

Physician Assistant (license number reported to NPPES: ID PA-780)

📍
Updated Practice Location November 01, 2023

Registered at 7272 W POTOMAC DR, BOISE, ID 837049149 (Tel: 2088842922)

âś…
NPI Profile Active January 20, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 20, 2016

Registered at 402 OLD STATE HWY, CASCADE, ID 83611 (Tel: 2083824285)

📍
Business Mailing Address (Initial Record) January 20, 2016

Registered at 215 E HAWAII AVE, NAMPA, ID 836866011 (Tel: 2084633000)

👤
Provider Name / Credentials (Initial Record) January 20, 2016

Recorded as NICOLE ROTA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2016

Physician Assistant (license number reported to NPPES: ID PA-780)

🟢
Initial NPI Registration & Enumeration October 28, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265685762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2008
Last Update: May 02, 2024
Sole Proprietor: No

Other Physician Assistants in Pullman

Healthcare providers in Pullman

Mailing Address

1125 Se Washington St

Pullman, WA 991640001

Phone: 5093353575

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.