Individual provider Active NPI

Cooper L Nickel, M.D.

  • Family Medicine Physician
  • Caldwell, KS
National Provider Identifier
1396279378
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-41127 Issued in KS
Practice address
761 W 175TH St S
Caldwell, KS 67022-8301
Phone
(620) 845-6492
NPI assigned
Apr 17, 2017
Last updated
Dec 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125000445 KS Practitioner - Family Practice 7810265444 Reassigns benefits to 14 organizations

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
Hodgeman County Health CenterGroup PAC ID 5799696894, 11 clinicians

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

LicenseStateTypeSpecialty
04-41127KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grisell Memorial Hospital District 1 Current Accepting new patients
Decatur Health Systems Inc Emergency Medicine CurrentSince Jan 27, 2025 Accepting new patients
Lindsborg Community Hospital Association CurrentSince Nov 1, 2020 Accepting new patients
Hodgeman County Health Center CurrentSince Jan 1, 2024 Accepting new patients
Sumner County Hospital District No 1 CurrentSince Apr 30, 2024 Accepting new patients
Jefferson County Memorial Hospital CurrentSince Dec 15, 2024 Accepting new patients
Heartland Medical Clinic, Inc CurrentSince Oct 1, 2020 Accepting new patients
Phillips County Hospital CurrentSince Nov 1, 2021 Accepting new patients
Lindsborg Community Rural Health Clinic Inc Current Accepting new patients
Phillips County Hospital CurrentSince Nov 1, 2021 Accepting new patients
Decatur Health Systems Inc Current Accepting new patients
Lindsborg Community Hospital Association CurrentSince Nov 1, 2020 Accepting new patients
Heartland Medical Clinic, Inc Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Meade Hospital District CurrentSince Mar 27, 2025 Accepting new patients
Jefferson County Memorial Hospital, Inc CurrentSince Dec 15, 2024 Accepting new patients
Hodgeman County Health Center CurrentSince Jun 1, 2025 Accepting new patients
Hodgeman County Health Center CurrentSince Jan 1, 2024 Accepting new patients
Lincoln County Hospital CurrentSince Dec 22, 2018 Accepting new patients
Meade Hospital District Family Medicine CurrentSince Mar 27, 2025 Accepting new patients
Sumner County Hospital District No 1 CurrentSince Apr 30, 2024 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

  • Direct secure messaging: cooper.nickel.1@15770.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15770/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/88f6f0ad-680b-460f-ba7c-9dd496dece04/
  • FHIR API: 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.

View all 26

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": "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

Sources for this page

Verify at the official NPI Registry.