Tyson Ryley Nickelson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-79960-011 Issued in KS

Practice address

200 Research Dr
Manhattan, KS 66503-3049

Phone

(785) 539-4644

NPI assigned

Feb 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Manhattan Medical Group LLCGroup PAC ID 3870742505, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Via Christi Hospital Manhattan, Inc Hospital, Manhattan, KS, CCN 170142
• Memorial Hospital Hospital, Abilene, KS, CCN 171381
• Wamego Health Center Hospital, Wamego, KS, CCN 171337
• Stormont Vail Health Flint Hills, LLC Hospital, Junction City, KS, CCN 170074

Merit-based Incentive Payment System (MIPS)

Final score

94.62 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.31

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyson.nickelson@mmgllc.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CJDJBA

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.

• Manhattan Medical Group, LLC

  • Interventional Cardiology Physician
  • Manhattan, KS
  • NPI 1609138387
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Via Christi Hospital Manhattan, Inc.

  • General Acute Care Hospital
  • Manhattan, KS
  • NPI 1760482517
  Care Compare affiliation
• Hospital District No. 1 of Dickinson County, Kansas

  • Critical Access Hospital
  • Abilene, KS
  • NPI 1992759633
  Care Compare affiliation
• Stormont Vail Health Flint Hills LLC

  • General Acute Care Hospital
  • Junction City, KS
  • NPI 1679280192
  Care Compare affiliation
• Wamego Hospital Association

  • Critical Access Hospital
  • Wamego, KS
  • NPI 1588657928
  Care Compare affiliation

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1972194751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 CHURCHILL WAY",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665030384",
            "telephone_number": "785-236-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RESEARCH DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665033049",
            "telephone_number": "785-539-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELSON",
        "first_name": "TYSON",
        "middle_name": "RYLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-79960-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichols Chiropractic, PA
• Nichols PT & Wellness LLC
• Jarrod L Nichols, D.C.
• Travis J Nichols, DPT
• Koby Nickel
• Shawna Marie Niemann
• Anna Nippert
• Kyra Nippert
• Ryan Wade Nittler, DPT
• Layne Njaa

• Nurse Practitioner in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.

Verify at the official NPI Registry.