Active NPI
Daniel James Nichols, MS, MSM, PA-C
- Physician Assistant
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 074769
- Practice address
- 202 10TH St SE
Cedar Rapids, IA 52403-2414 - Phone
- (319) 247-3010
- Fax
- (877) 303-8768
- NPI assigned
- Nov 19, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0000000865 | TN | |
| Physician Assistant | 363A00000X | 085005376 | IL | |
| Medical Physician Assistant | 363AM0700X | 2401 | TN | |
| Physician Assistant | 363A00000X | 074769 | IA | Primary |
Addresses
Primary practice location
202 10TH St SE
Cedar Rapids, IA 52403-2414
Mailing address
202 10TH St SE Ste 140
Cedar Rapids, IA 52403-2432
Phone (319) 398-1545
Other names 1
- Mr. Dan Nichols
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010
275 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000865 | TN | MD | Athletic Trainer |
| 2401 | TN | MD | Athletic Trainer |
| 085005376 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Physicians Clinic of Iowa, PC | Current | Accepting new patients | |
| Medical Observation Services LLC | Past | Accepting new patients | |
| Ora Orthopedics, PC | Past | Accepting new patients | |
| Volunteer Medical Group, P.C. | Past | Accepting new patients |
Locations
202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010
202 10th St SE
Ste 140
Cedar Rapids, IA 52403
Phone (319) 398-1506
202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIJCBD
- dnichols238526@direct.unitypoint.org
- daniel.nichols@pciowa.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Surgery Physician
- Cedar Rapids, IA
- NPI 1821075599
-
- Orthopaedic Surgery Physician
- Moline, IL
- NPI 1962481861
-
dba Iowa Blood and Cancer Care of PCI Medication Dispensing Service
- Specialty Pharmacy
- Cedar Rapids, IA
- NPI 1295064111
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
-
- Emergency Medicine Physician
- Cookeville, TN
- NPI 1669734877
-
- Emergency Medicine Physician
- Cookeville, TN
- NPI 1801886999
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1720029333
-
- Critical Access Hospital
- Anamosa, IA
- NPI 1164514741
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1780839605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 10TH ST SE STE 140",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032432",
"telephone_number": "319-398-1545",
"fax_number": "309-762-3690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 10TH ST SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032414",
"telephone_number": "319-247-3010",
"fax_number": "877-303-8768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "DANIEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MS, MSM, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-19",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "0000000865",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085005376",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "2401",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "074769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAN",
"last_name": "NICHOLS",
"prefix": "MR.",
"credential": "MS, MSM, PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.