Graig L Nickel, MD – Family Medicine Physician

Key facts

NPI: 1043235484
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 04-28982 (KS)
Practice address: 1200 Schwegler Drive
Ku SHS - Watkins Memorial Health Center
Lindsborg, KS 66045
Phone: (785) 864-9500
NPI assigned: Jul 13, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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

Lindsborg Community Rural Health Clinic Inc Rural Health Clinic/Center · Lindsborg, KS · NPI 1427081041

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
04-28982	KS	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Lindsborg Community Rural Health Clinic Inc		Current	Accepting new patients

Locations

601 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	04-28982	KS	Yes

Addresses

Primary practice location

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

Mailing address

3916 Prairie Rose St
Lawrence, KS 66049-7825
Phone (785) 856-0025

Other identifiers

Identifier	Type	State	Issuer
100409080B	Medicaid	KS

Other providers in Lindsborg, KS

Kelli Kristine Morrison, O.T.R./L.
Tiffany Claire Moss, CPD
Multi Community Diversified Services, Inc.
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

All providers in Lindsborg, KS · Family Medicine Physician in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.