Individual provider Active NPI

Raymond Paul Nicholl, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1487784815
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4452 Issued in NV
Practice address
2610 S Jones Blvd Ste 1
Las Vegas, NV 89146-5635
Phone
(702) 798-7770
Fax
(702) 935-7474
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4452 NV Primary

Addresses

Primary practice location

2610 S Jones Blvd Ste 1
Las Vegas, NV 89146-5635

Mailing address

3009 W Charleston Blvd Ste 120
Las Vegas, NV 89102-1943
Phone (702) 798-7770

Other practice location 1

3009 W Charleston Blvd Ste 120
Las Vegas, NV 89102-1943
Phone (702) 798-7770

Other identifiers 2

IdentifierTypeStateIssuer
002019494MedicaidNV
1922273101MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20041021000691 NV Practitioner - Family Practice 7719948967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instant Care Medical GroupGroup PAC ID 6608372305, 2 clinicians

Practice addresses (Care Compare)

2610 S Jones Blvd
Suite 1
Las Vegas, NV 89146-5635
Phone (702) 798-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4452NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Care Medical Clinic LLC Current Accepting new patients
Instant Care Medical Group Family Medicine CurrentSince Sep 5, 2025 Accepting new patients
Quality Nursing LLC Past Accepting new patients
Physician to You LLC Past Accepting new patients
Physicians to Home LLC PastSince Dec 27, 2018 Accepting new patients

Locations

3009 W Charleston Blvd
#120
Las Vegas, NV 89102
Phone (702) 831-6670

2208 S Nellis Blvd
Ste 5
Las Vegas, NV 89104
Phone (702) 475-9000

2610 S Jones Blvd
Ste 1
Las Vegas, NV 89146
Phone (702) 750-2837

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: raymond.nicholl@rcmcl-nv.direct.office.nextgen.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1487784815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 W CHARLESTON BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021943",
            "telephone_number": "702-798-7770",
            "fax_number": "702-935-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 S JONES BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465635",
            "telephone_number": "702-798-7770",
            "fax_number": "702-935-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3009 W Charleston Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021943",
            "country_code": "US",
            "telephone_number": "702-798-7770",
            "fax_number": "702-637-3396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLL",
        "first_name": "RAYMOND",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "4452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019494",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922273101",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.