Individual provider Active NPI

Kyle B Nichols, MD

  • Anesthesiology Physician
  • Milwaukee, WI
National Provider Identifier
1194041285
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
19300 Issued in ND
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

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1194041285MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
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, ND8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20220728003700 MN Practitioner - Anesthesiology 3678706009 Reassigns benefits to 1 organization
I20221213000955 IA Practitioner - Anesthesiology 3678706009 Reassigns benefits to 1 organization
I20230613003351 WA Practitioner - Anesthesiology 3678706009 Reassigns benefits to 1 organization
I20231114002039 OH Practitioner - Anesthesiology 3678706009 Reassigns benefits to 2 organizations
I20260211003158 VA Practitioner - Anesthesiology 3678706009 Reassigns benefits to 1 organization
I20260311004094 NE Practitioner - Anesthesiology 3678706009 Reassigns benefits to 1 organization
I20260603002257 IL Practitioner - Anesthesiology 3678706009 Reassigns benefits to 3 organizations
I20260616004477 ND Practitioner - Anesthesiology 3678706009 Reassigns benefits to 1 organization

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
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians
Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

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

LicenseStateTypeSpecialty
1249302IAMDAnesthesiology Physician
19300NDMDAnesthesiology Physician
0101288067VAMDAnesthesiology Physician
56796-20WIMDAnesthesiology Physician
164422NCMDInternal Medicine Physician
56796WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Bryan Hospital Kearney CurrentSince Feb 9, 2026 Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Bryan Hospital Kearney Anesthesiology CurrentSince Feb 9, 2026 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Aug 8, 2022 Accepting new patients
Mercy Medical Center Current Accepting new patients
Franciscan Medical Group CurrentSince Apr 27, 2023 Accepting new patients
Arlington Anesthesia Partners LLC Anesthesiology CurrentSince Apr 12, 2025 Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Apr 27, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 21, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 21, 2025 Accepting new patients
Premier Anesthesia of Ohio LLC Anesthesiology CurrentSince Oct 15, 2023 Accepting new patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Dec 31, 2025 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

  • Direct secure messaging: knichols716543@direct.gundersenhealth.org
  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.