Cindy K Nickels, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN14071 Issued in MT

Practice address

247 N Fireweed St Ste a
Soldotna, AK 99669-7593

Phone

(907) 262-8597

Fax

(907) 262-6516

NPI assigned

May 6, 2009

Last updated

Feb 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75.44 of 100Reported as group

Quality

62.56

Promoting interoperability

81

Improvement activities

40

Cost

67.88

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cnickels635764@ak.providencedirect.org
• Direct secure messaging: cnickels635771@ak.providencedirect.org

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.

• Central Peninsula General Hospital Inc.

  dba Central Peninsula Hospital

  • Rural Acute Care Hospital
  • Soldotna, AK
  • NPI 1528062429
  Medicare reassignment NPD
• Central Peninsula General Hospital, Inc

  dba Central Peninsula Urology

  • Urology Physician
  • Soldotna, AK
  • NPI 1275948424
  NPD
• North Star Medical Imaging PLLC

  • Diagnostic Radiology Physician
  • Mount Vernon, WA
  • NPI 1144489824
  NPD
• Eastern Aleutian Tribes, Inc

  • Community Health Clinic/Center
  • King Cove, AK
  • NPI 1649332446
  NPD (past)
• South Sound Inpatient Physicians PLLC

  dba Sound Inpatient Physicians

  • Internal Medicine Physician
  • Hillsboro, OR
  • NPI 1508023789
  NPD (past)

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1457585390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 C ST",
            "address_2": "SUITE 100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033949",
            "telephone_number": "907-277-1440",
            "fax_number": "907-277-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 N FIREWEED ST STE A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697593",
            "telephone_number": "907-262-8597",
            "fax_number": "907-262-6516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Slocum Dr.",
            "address_purpose": "LOCATION",
            "city": "King Cove",
            "state": "AK",
            "postal_code": "99612",
            "country_code": "US",
            "telephone_number": "907-497-2311",
            "fax_number": "907-497-2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKELS",
        "first_name": "CINDY",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "RN14071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F0109007",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnickels635771@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "provider direct messaging address",
            "address_1": "247 N Fireweed St Ste A",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CNICKELS635764@AK.PROVIDENCEDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "provider direct messaging address",
            "address_1": "247 N Fireweed St Ste A",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacy Newbern, APRN
• William E Newberry, PA-C
• Christina Newman, RBT
• Tonya Newton-Eddie
• Amber N Nicholson
• Samantha Niesen, FNP-C
• Nightingale Care Services
• Nicole Marie Nilson, M.D.
• North Star Therapy Inc.
• Northern Lighthouse Dba Northern Lighthouse Day Center

• Family Nurse Practitioner in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.

Verify at the official NPI Registry.