Graig L Nickel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-28982 Issued in KS

Practice address

1200 Schwegler Drive
Ku SHS - Watkins Memorial Health Center
Lindsborg, KS 66045

Phone

(785) 864-9500

NPI assigned

Jul 13, 2006

Last updated

Dec 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lindsborg Community Rural Health Clinic Inc

  dba Lindsborg Rural Health Clinic

  • Rural Health Clinic/Center
  • Lindsborg, KS
  • NPI 1427081041
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1043235484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 PRAIRIE ROSE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660497825",
            "telephone_number": "785-856-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SCHWEGLER DRIVE",
            "address_2": "KU SHS - WATKINS MEMORIAL HEALTH CENTER",
            "city": "LINDSBORG",
            "state": "KS",
            "postal_code": "66045",
            "telephone_number": "785-864-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "GRAIG",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-28982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100409080B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Kristine Morrison, O.T.R./L.
• Tiffany Claire Moss, CPD
• Multi Community Diversified Services, Inc. (Lindsborg House II)
• Stephanie R Nelson
• Kaetlyn Newell, PTA
• Stacey Leigh Nyquist, PHARM. D.
• Allison O'Neil
• Teresa K Pearson, NP
• Erik J. Peterson, D.D.S.
• Karna S. Peterson

• Family Medicine Physician in Lindsborg, KS
• Providers in Lindsborg, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.