Michael George Nicholas, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

18678 Issued in SD

Practice address

2525 Fox Run Pkwy Ste 204
Yankton, SD 57078-5371

Phone

(605) 665-5100

NPI assigned

Mar 25, 2022

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

Medicare fee-for-service enrollment

Enrolled in SD

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 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1215687975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 FOX RUN PKWY STE 204",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 FOX RUN PKWY STE 204",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785371",
            "telephone_number": "605-665-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "18678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Alan Nelson, LPC QMHP
• Gloriz Nelson
• Megan Nelson
• Jaime L Ness, MA, CCC-SLP
• Elizabeth L Nicholas, MD
• Robert Nicholas, MD
• Julianna C Nielsen-Dick, LMT
• Byron S Nielsen, M.D.
• Maria N Nikolas Neely, MSPT
• Tiffiney Marie Noland, CRNA

• Psychiatry Physician in Yankton, SD
• Providers in Yankton, SD by specialty
• Psychiatry Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.