Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Nichols

Individual provider Physician Assistant · NPI 1407204811

Benjamin Nichols is a Physician Assistant in Walla Walla, Washington. Qualified in 2016, 10 years ago. Practices with Yakima Valley Farm Workers Clinic, a 276-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2016
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Practice location Address checks out

1120 W Rose St
Walla Walla, WA 99362-1662
Phone: (509) 525-6650
Fax: (509) 522-2349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60694546 (WA)

Record details

NPI number1407204811
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 25, 2016
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Yakima Valley Farm Workers Clinic — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Walla Walla