Active NPI
Kyle B Nichols, MD
- Anesthesiology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 19300
- Practice address
- 9200 W Wisconsin Ave
Dept of Anesthesiology
Milwaukee, WI 53226-3522 - Phone
- (414) 805-8700
- Fax
- (414) 259-1522
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 56796-20 | WI | |
| Internal Medicine Physician | 207R00000X | 56796 | WI | |
| Anesthesiology Physician | 207L00000X | 1249302 | IA | |
| Internal Medicine Physician | 207R00000X | 164422 | NC | |
| Anesthesiology Physician | 207L00000X | 0101288067 | VA | |
| Anesthesiology Physician | 207L00000X | 19300 | ND | Primary |
| Anesthesiology Physician | 207L00000X | 036.175981 | IL |
Addresses
Primary practice location
9200 W Wisconsin Ave
Dept of Anesthesiology
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Dept of Anesthesiology
Milwaukee, WI 53226-3522
Phone (414) 805-8700
Other practice location 1
875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500
Other practice location 2
901 Grant St
Harvard, IL 60033-1821
Phone (815) 973-5431
Other practice location 3
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194041285 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, IA, WA, OH, VA, NE, IL, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wake Forest University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-3121
300 N 7TH St
Bismarck, ND 58501-4439
Phone (701) 323-6000
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
804 22ND Ave
Kearney, NE 68845-2206
Phone (308) 455-3600
838 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 261-6900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1249302 | IA | MD | Anesthesiology Physician |
| 19300 | ND | MD | Anesthesiology Physician |
| 0101288067 | VA | MD | Anesthesiology Physician |
| 56796-20 | WI | MD | Anesthesiology Physician |
| 164422 | NC | MD | Internal Medicine Physician |
| 56796 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Bryan Hospital Kearney | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Bryan Hospital Kearney | Anesthesiology | Current | Accepting new patients |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Arlington Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| Franciscan Medical Group | Internal Medicine | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Premier Anesthesia of Ohio LLC | Anesthesiology | Current | Accepting new patients |
| SMG Anesthesia Specialists LLC | Anesthesiology | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240
1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600
804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420
793 W State St
Columbus, OH 43222
Phone (614) 234-1862
5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242
838 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6900
830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
Interoperability endpoints
- knichols716543@direct.gundersenhealth.org
- knichols927247@direct.unitypoint.org
Organizations & group practices 18
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.
-
- Anesthesiology Physician
- West Des Moines, IA
- NPI 1194516146
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
-
- Multi-Specialty Clinic/Center
- Bismarck, ND
- NPI 1811941172
-
- Anesthesiology Physician
- Circleville, OH
- NPI 1578209342
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Anesthesiology Physician
- Grove City, OH
- NPI 1699196022
-
- Critical Access Hospital
- Harvard, IL
- NPI 1427001445
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- General Acute Care Hospital
- Kearney, NE
- NPI 1407513484
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kearney, NE
- NPI 1407513484
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1720029333
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1538245634
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1194041285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "DEPT OF ANESTHESIOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-8700",
"fax_number": "414-259-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "DEPT OF ANESTHESIOLOGY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-8700",
"fax_number": "414-259-1522"
}
],
"practiceLocations": [
{
"address_1": "875 S Route 31",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600148190",
"country_code": "US",
"telephone_number": "779-220-5500",
"fax_number": "779-220-5184",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 Grant St",
"address_purpose": "LOCATION",
"city": "Harvard",
"state": "IL",
"postal_code": "600331821",
"country_code": "US",
"telephone_number": "815-973-5431",
"fax_number": "815-943-0659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8201 E Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611142300",
"country_code": "US",
"telephone_number": "815-971-7000",
"fax_number": "815-968-4795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLS",
"first_name": "KYLE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "56796-20",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "56796",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "1249302",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "164422",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101288067",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ND",
"license": "19300",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036.175981",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194041285",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "9200 W Wisconsin Ave",
"address_2": "DEPT OF ANESTHESIOLOGY",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532263522",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.