Active NPI
Dan Arthur Nicholls, MD
- Pain Medicine (Anesthesiology) Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 18695A
- Practice address
- 984150 Nebraska Medical Ctr
Omaha, NE 68198-4150 - Phone
- (402) 559-7353
- Fax
- (402) 559-7372
- NPI assigned
- Oct 21, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 18695A | WY | Primary |
Addresses
Primary practice location
984150 Nebraska Medical Ctr
Omaha, NE 68198-4150
Mailing address
984150 Nebraska Medical Ctr
Omaha, NE 68198-4150
Phone (402) 559-7353
Other practice location 1
111 S 5th St
Douglas, WY 82633-2434
Phone (307) 358-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 N 30TH St
Laramie, WY 82072-5140
Phone (307) 742-2142
3116 Willett Dr
Laramie, WY 82072-5048
Phone (307) 742-6319
Hospital & facility affiliations
- Ivinson Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 532 | WY | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivinson Memorial Hospital | Current | Accepting new patients | |
| Unmc Physicians | Current | Accepting new patients | |
| Ivinson Memorial Hospital | Current | Accepting new patients | |
| Ivinson Memorial Hospital | Past | Accepting new patients |
Locations
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319
255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141
Interoperability endpoints
- dnicholls@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Laramie, WY
- NPI 1033628599
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Rural Acute Care Hospital
- Laramie, WY
- NPI 1366626269
-
- Rural Acute Care Hospital
- Laramie, WY
- NPI 1336289552
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Laramie, WY
- NPI 1336289552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1699050617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "984150 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681984150",
"telephone_number": "402-559-7353",
"fax_number": "402-559-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984150 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681984150",
"telephone_number": "402-559-7353",
"fax_number": "402-559-7372"
}
],
"practiceLocations": [
{
"address_1": "111 S 5th St",
"address_purpose": "LOCATION",
"city": "Douglas",
"state": "WY",
"postal_code": "826332434",
"country_code": "US",
"telephone_number": "307-358-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLLS",
"first_name": "DAN",
"middle_name": "ARTHUR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-21",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "WY",
"license": "18695A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.