Active NPI
Cooper L Nickel, M.D.
- Family Medicine Physician
- Caldwell, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-41127
- Practice address
- 761 W 175TH St S
Caldwell, KS 67022-8301 - Phone
- (620) 845-6492
- NPI assigned
- Apr 17, 2017
- Last updated
- Dec 7, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 04-41127 | KS | |
| Family Medicine Physician | 207Q00000X | 04-41127 | KS | Primary |
Addresses
Primary practice location
761 W 175TH St S
Caldwell, KS 67022-8301
Mailing address
4612 Hearthside Dr
Lawrence, KS 66049-3740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
761 W 175TH St S
Caldwell, KS 67022-8301
Phone (620) 845-6492
810 W Bramley St
Jetmore, KS 67854-9320
Phone (620) 357-8354
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-41127 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grisell Memorial Hospital District 1 | Current | Accepting new patients | |
| Decatur Health Systems Inc | Emergency Medicine | Current | Accepting new patients |
| Lindsborg Community Hospital Association | Current | Accepting new patients | |
| Hodgeman County Health Center | Current | Accepting new patients | |
| Sumner County Hospital District No 1 | Current | Accepting new patients | |
| Jefferson County Memorial Hospital | Current | Accepting new patients | |
| Heartland Medical Clinic, Inc | Current | Accepting new patients | |
| Phillips County Hospital | Current | Accepting new patients | |
| Lindsborg Community Rural Health Clinic Inc | Current | Accepting new patients | |
| Phillips County Hospital | Current | Accepting new patients | |
| Decatur Health Systems Inc | Current | Accepting new patients | |
| Lindsborg Community Hospital Association | Current | Accepting new patients | |
| Heartland Medical Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Meade Hospital District | Current | Accepting new patients | |
| Jefferson County Memorial Hospital, Inc | Current | Accepting new patients | |
| Hodgeman County Health Center | Current | Accepting new patients | |
| Hodgeman County Health Center | Current | Accepting new patients | |
| Lincoln County Hospital | Current | Accepting new patients | |
| Meade Hospital District | Family Medicine | Current | Accepting new patients |
| Sumner County Hospital District No 1 | Current | Accepting new patients | |
| Lindsborg Community Hospital Association | Current | Accepting new patients | |
| Meade Hospital District | Current | Accepting new patients | |
| Lincoln County Hospital | Current | Accepting new patients | |
| Meade Hospital District | Past | Accepting new patients | |
| Grisell Memorial Hospital District 1 | Past | Accepting new patients |
Locations
761 W 175th St S
Caldwell, KS 67022
Phone (620) 845-6492
809 W Bramley St
Jetmore, KS 67854
Phone (316) 357-8354
810 W Bramley St
Jetmore, KS 67854
Phone (620) 357-8354
1312 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297
1803 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297
346 Maine St
Ste 150
Lawrence, KS 66044
Phone (785) 841-7297
313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474
624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403
605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308
810 W Columbia St
Oberlin, KS 67749
Phone (785) 475-2200
902 W Columbia St
Oberlin, KS 67749
Phone (785) 475-2221
1150 State St
Phillipsburg, KS 67661
Phone (785) 543-5226
210 S Vermont Ave
Ransom, KS 67572
Phone (785) 731-2231
408 Delaware St
Winchester, KS 66097
Phone (844) 536-9449
Interoperability endpoints
- cooper.nickel.1@15770.direct.athenahealth.com
- https://api.platform.athenahealth.com/15770/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/88f6f0ad-680b-460f-ba7c-9dd496dece04/
- https://fhir-myrecord.cerner.com/r4/b7d97c24-76cc-4a74-827a-3cd7c83065ba/
Organizations & group practices 26
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Jetmore, KS
- NPI 1821098252
-
dba Caldwell Regional Medical Center
- Critical Access Hospital
- Caldwell, KS
- NPI 1215094438
-
dba Decatur Health Systems Family Practice Clinic
- Rural Health Clinic/Center
- Oberlin, KS
- NPI 1013222629
Emergency Medicine
-
dba Lincoln Medical Clinic
- Rural Health Clinic/Center
- Lincoln, KS
- NPI 1841248952
-
- Critical Access Hospital
- Lincoln, KS
- NPI 1942265327
-
- Critical Access Hospital
- Lindsborg, KS
- NPI 1023001021
-
- Critical Access Hospital
- Lindsborg, KS
- NPI 1881697811
-
dba Meade Rural Health Clinic
- Family Medicine Physician
- Meade, KS
- NPI 1851584460
-
- Critical Access Hospital
- Meade, KS
- NPI 1922004076
-
dba d/b/a Phillips County Medical Clinic
- Rural Health Clinic/Center
- Phillipsburg, KS
- NPI 1366499717
-
dba Heartland Community Health Center
- Federally Qualified Health Center (FQHC)
- Lawrence, KS
- NPI 1487107447
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Jetmore, KS
- NPI 1821098252
-
- Medicare Defined Swing Bed Hospital Unit
- Meade, KS
- NPI 1801976857
Nursing home
-
- Critical Access Hospital
- Meade, KS
- NPI 1922004076
-
dba Caldwell Regional Medical Center
- Critical Access Hospital
- Caldwell, KS
- NPI 1215094438
-
dba Caldwell Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Caldwell, KS
- NPI 1689707275
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765065600000",
"number": "1396279378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 HEARTHSIDE DR",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660493740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 W 175TH ST S",
"city": "CALDWELL",
"state": "KS",
"postal_code": "670228301",
"telephone_number": "620-845-6492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKEL",
"first_name": "COOPER",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-17",
"last_updated": "2025-12-07",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KS",
"license": "04-41127",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-41127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, KS
- Joe Halling, P.T.
- Harold a Small DDS PA
- Integris Bass Baptist Health Center (INTEGRIS Caldwell Family Clinic)
- Ali Lee
- Aidan Moreland, APRN, FNP-C
- Molly Kay Partee, APRN, FNP-C
- Mary Elizabeth Petrik, R.D. L. D.
- Harold Andrew Small, D.D.S.
- Snezhana Solovey, RN
- Sumner County Hospital District No 1 (Caldwell Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2025; 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.