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

Nicholas Ivar Cookson, PA-C

Individual provider Physician Assistant · NPI 1104318427

Nicholas Ivar Cookson, PA-C is a Physician Assistant in Worcester, Massachusetts. Qualified in 2018, 8 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
8
Licensed in
MA, RI
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-7828
Fax: (508) 334-7284
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-7585
  • 127 Prospect St, Warwick, RI 02886-7138 — (401) 595-7832

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101610 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA01048 (RI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1104318427
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Umass Memorial Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2467 clinicians in the practice; 12 are shown here.

Other providers in Worcester