Individual provider Active NPI

Kyle Christian Nickel, MD

  • Surgery Physician
  • Delta, CO
National Provider Identifier
1699738567
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
33012 Issued in CO
Practice address
95 Stafford LN
Delta, CO 81416-3465
Phone
(970) 874-8026
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 33012 CO Primary

Addresses

Primary practice location

95 Stafford LN
Delta, CO 81416-3465

Mailing address

PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-8026

Other practice location 1

1501 E 3rd St
Delta, CO 81416-2815
Phone (970) 874-7681

Other identifiers 1

IdentifierTypeStateIssuer
9000242305MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20110928000299 CO Practitioner - General SurgeryPractitioner - Vascular Surgery 7517919251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Colorado School of Medicine, Denver, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians

Practice addresses (Care Compare)

95 Stafford LN
Delta, CO 81416-3465
Phone (970) 874-8026

Hospital & facility affiliations

  • Delta County Memorial Hospital Hospital, Delta, CO, CCN 060071
  • Montrose Regional Health Hospital, Montrose, CO, CCN 060006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy80
Hernia repair - groin (open)11
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux72
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33012COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta County Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Delta County Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Delta County Memorial Hospital Surgery Past Accepting new patients

Locations

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

95 Stafford Ln
Delta, CO 81416
Phone (790) 874-8026

Interoperability endpoints

  • Direct secure messaging: kyle.nickel.1@12539.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1699738567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10100",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814160008",
            "telephone_number": "970-874-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 STAFFORD LN",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814163465",
            "telephone_number": "970-874-8026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162815",
            "country_code": "US",
            "telephone_number": "970-874-7681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "KYLE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "33012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000242305",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.