William John Nicholas, MD
Individual provider Active NPI Interventional Cardiology Physician · Joplin, MO
NPI 1356387484 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1356387484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 110180 (MO)
- Practice address
- 3333 McIntosh Cir Ste 4
Joplin, MO 64804-3681 - Phone
- (417) 347-5000
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 39
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Freeman-Oak Hill Health System
Freeman Neosho Hospital
Labette County Medical Center
Practice addresses (Care Compare)
100 N Pine St
Pittsburg, KS 66762-4756
Phone (620) 231-3750
1102 W 32 St
Joplin, MO 64804-3503
Phone (417) 347-1111
113 W Hickory St
Neosho, MO 64850-1705
Phone (417) 451-1234
1902 S Hwy 59
Parsons, KS 67357-4948
1902 S US Hwy 59
Parsons, KS 67357-4948
1902 S US Hwy 59 BLDG E
Parsons, KS 67357-4948
Phone (620) 421-1081
Hospital & facility affiliations
- Freeman Health System - Freeman West
- Labette Health
- Ascension St John Jane Phillips
- Mercy Hospital Joplin
- Freeman Neosho Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 48.28 of 100
- Quality
- 21.69
- Improvement activities
- 40
- Cost
- 71.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.37 of 100
- Quality
- 60.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 74 |
| Pacemaker insertion or repair | 51 |
| Leg revascularization (restoring blood flow) | 88 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071113000720 | MO | Practitioner - Cardiovascular Disease (Cardiology) |
7810085503 | Reassigns benefits to 4 organizations |
| I20080404000691 | KS | Practitioner - Cardiovascular Disease (Cardiology) | 7810085503 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Labette County Medical Center | Current |
Accepting new patients | |
| Freeman-Oak Hill Health System | Current |
Accepting new patients | |
| Freeman Neosho Hospital | Current |
Accepting new patients | |
| Labette County Medical Center | Current | Accepting new patients | |
| Labette County Medical Center | Current |
Accepting new patients | |
| Freeman Neosho Hospital | Current |
Accepting new patients | |
| Labette County Medical Center | Current | Accepting new patients | |
| Freeman Neosho Hospital | Current |
Accepting new patients | |
| Freeman-Oak Hill Health System | Past | Accepting new patients | |
| Freeman-Oak Hill Health System | Past | Accepting new patients | |
| Labette County Medical Center | Past | Accepting new patients | |
| Eugene E. Langevin,D.O.,P.C. | Cardiovascular Disease | Past | Accepting new patients |
Locations
1902 S US Highway 59
Bldg E
Parsons, KS 67357
Phone (620) 421-1081
1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880
1902 S US Highway 59
Ste 202
Parsons, KS 67357
1902 S US Highway 59
Bldg D
Parsons, KS 67357
Phone (620) 421-0830
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
1102 W 32nd St
Ste 200
Joplin, MO 64804
Phone (417) 347-5001
336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200
113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078
Interoperability endpoints
- william.nicholas.1@20184.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 110180 | MO | Yes |
Addresses
Primary practice location
3333 McIntosh Cir Ste 4
Joplin, MO 64804-3681
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-6400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100202220A | Medicaid | OK | |
| 208167924 | Medicaid | MO | |
| 117796 | Other | MO | ANTHEM |
| P00322601 | Other | KS | RR MEDICARE |
| 100137270C | Medicaid | KS | |
| 110817 | Other | KS | KS BCBS |
| 424135 | Other | KS | BCBS KS |
| 060061613 | Other | RR MEDICARE | |
| 100137270D | Medicaid | KS |
Other providers in Joplin, MO
- Veronica Thao Duyen Nguyen
- NHC Healthcare-Joplin LLC
- Nicholas J. Moore DDS, LLC
- Nicholas Moore DDS LLC
- Greta Jane Nicholas
- Jared Wade Nichols
- Joseph Lawrence Nichols
- Margaret Ellen Nichols
- Matthew Nichols
- Emelie Grace Nickel
All providers in Joplin, MO · Interventional Cardiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.