Individual provider Active NPI

Tyler Nickle, DO

  • Pain Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1972097418
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
DR.0074892 Issued in CO
Practice address
2430 Research Pkwy Ste 205
Colorado Springs, CO 80920-1093
Phone
(719) 445-6242
Fax
(719) 445-6332
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 20A19690 CA
Pain Medicine Physician 208VP0000X DR.0074892 CO Primary
Occupational Medicine Physician 2083X0100X DR.0074892 CO

Addresses

Primary practice location

2430 Research Pkwy Ste 205
Colorado Springs, CO 80920-1093

Mailing address

2430 Research Pkwy Ste 205
Colorado Springs, CO 80920-1093
Phone (719) 445-6242

Other practice location 1

6011 E Woodmen Rd Ste 360
Colorado Springs, CO 80923-2606
Phone (719) 571-8550

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
I20250602002332 CO Practitioner - Preventive MedicinePractitioner - Pain Management 0345591038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: Pain Management
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Center for Pain and Wellness, PLLCGroup PAC ID 6709305261, 11 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

2430 Research Pkwy
Suite 205
Colorado Springs, CO 80920-1093
Phone (719) 445-6242

6011 E Woodmen Rd
360 CSPC Centura Spine
Colorado Springs, CO 80923-2606
Phone (719) 571-8550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
81.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19690CAMDOccupational Medicine Physician
DR.0074892COMDPain Medicine Physician
19690CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Oct 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
New Mexico Center for Pain and Wellness, LLC Pain Medicine CurrentSince Sep 3, 2025 Accepting new patients
Colorado Center for Pain and Wellness, PLLC CurrentSince Apr 5, 2025 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1755 Telstar Dr
Fl 3
Colorado Springs, CO 80920
Phone (505) 322-6687

2430 Research Pkwy
Ste 205
Colorado Springs, CO 80920
Phone (505) 322-6687

6011 E Woodmen Rd
Ste 360
Colorado Springs, CO 80923
Phone (719) 571-8520

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

6330 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 322-6687

Interoperability endpoints

  • Direct secure messaging: tnickle662356@hisp.ehr.sutterhealth.org

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.

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972097418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 RESEARCH PKWY STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201093",
            "telephone_number": "719-445-6242",
            "fax_number": "719-445-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 RESEARCH PKWY STE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201093",
            "telephone_number": "719-445-6242",
            "fax_number": "719-445-6332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6011 E Woodmen Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232606",
            "country_code": "US",
            "telephone_number": "719-571-8550",
            "fax_number": "719-571-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKLE",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "20A19690",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CO",
            "license": "DR.0074892",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CO",
            "license": "DR.0074892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.