MR. MICHAEL PAUL NICKELL NURSE PRACTITIONER NPI 1073264297

NPI Information

  • NPI: 1073264297
  • Provider Name: MR. MICHAEL PAUL NICKELL, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15708 MCCONNELLSVILLE RD
    CALDWELL, OH
    ZIP 43724
  • Phone: (740) 305-1312

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NPI Details

MR. Michael Paul Nickell, NURSE PRACTITIONER is a family nurse practitioner in Caldwell, OH. MR. Michael Paul Nickell, NURSE PRACTITIONER NPI is 1073264297. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15708 MCCONNELLSVILLE RD
CALDWELL, OH
ZIP 43724-678
Phone: (740) 305-1312

The NPI 1073264297 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/11/2022 and was last updated on 3/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0000XRegistered NurseGeneral PracticeRN.431204OHIONo
2363LF0000XNurse PractitionerFamilyAPRN.CNP.0031075OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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