Tisha L Nickel (NPI# 1528303039, PAC ID# 8628223047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528303039 |
| PAC ID by PECOS | 8628223047 |
| Professional Enrollment ID | I20130308000228 |
| Full Name | Tisha L Nickel |
| Organization Legal Name | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| Address |
8909 Parallel Pkwy Kansas City KS 66112-1689 |
| Phone Number | 9135964200 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052553906 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170146 | PROVIDENCE MEDICAL CENTER |
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8909 Parallel Pkwy, Kansas City, KS 66112-1689 | 9135964200 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 9135963930 | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| Organization Legal Name | PRIME HEALTHCARE PHYSICIAN SERVICES PROVIDENCE INC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia B Cooper | Nurse Practitioner | Prime Healthcare Physician Services Providence Inc | 4801 College Blvd, Leawood, KS 66211-1628 |
| Christina M Coulson | Nurse Practitioner | Prime Healthcare Physician Services Providence Inc | 15604 Pinehurst Dr, Suite 2, Basehor, KS 66007-8234 |
| Donald J Mcsweyn | Cardiovascular Disease (cardiology) | Prime Healthcare Physician Services Providence Inc | 3550 S 4th St, 200 Pmg Primary Care Leavenworth Lansing, Leavenworth, KS 66048-5009 |
| Samuel Y Ho | Hospitalist | Prime Healthcare Physician Services Providence Inc | 3500 S 4th St, Leavenworth, KS 66048-5043 |
| Margaret A Killam | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Thad A Stephens | Emergency Medicine | Prime Healthcare Physician Services Providence Inc | 1000 Carondelet Dr, Kansas City, MO 64114-4673 |
| Terry A Simmons | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| James Appelbaum | Neurology | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Michael M Parra | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| John N Vani | Orthopedic Surgery | Prime Healthcare Physician Services Providence Inc | 8919 Parallel Pkwy, Suite 555, Kansas City, KS 66112-3628 |
| Street Address |
8909 PARALLEL PKWY |
| City | KANSAS CITY |
| State | KS |
| Zip | 66112-1689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ira W Marsh | Internal Medicine | Kansas Post Acute Medical Services 1 Pa | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Margaret A Killam | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Terry A Simmons | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| James Appelbaum | Neurology | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Michael M Parra | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Christopher S Riffel | Internal Medicine | Kansas Post Acute Medical Services 1 Pa | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Tereasa L Pickert | Physician Assistant | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Fenglin Shi | Neurology | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Brian Neal Jones | Pain Management | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| William R King | Family Medicine | Prime Healthcare Physician Services Providence Inc | 8909 Parallel Pkwy, Kansas City, KS 66112-1689 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Williams | Diagnostic Radiology | Diagnostic Imaging Centers Pa | 9201 Parallel Pkwy, Kansas City, KS 66112-1510 |
| Tannaz Montee | Pulmonary Disease | Select Specialty Hospital - Kansas City Inc | 1731 N 90th St, Select Specialty Hospital Kansas City, Kansas City, KS 66112-1515 |
| Aman U Khan | Pulmonary Disease | Select Specialty Hospital - Kansas City Inc | 1731 N 90th St, Select Specialty Hospital Kansas City, Kansas City, KS 66112-1515 |
| Ahmed M Madi | Internal Medicine | 1731 N 90th St, Select Spec Hospital, Kansas City, KS 66112-1515 | |
| Sabato A Sisillo | Pulmonary Disease | Select Specialty Hospital - Kansas City Inc | 1731 N 90th St, Select Specialty Hospital Kansas City, Kansas City, KS 66112-1515 |
| Eric D Friskel | Pulmonary Disease | Select Specialty Hospital - Kansas City Inc | 1731 N 90th St, Select Specialty Hospital Kansas City, Kansas City, KS 66112-1515 |
| Radmila Samardzija | Podiatry | Signature Medical Group of Kc Pa | 8919 Parallel Pkwy, Suite 550, Kansas City, KS 66112-1545 |
| Kapil Dua | Podiatry | Signature Medical Group of Kc Pa | 8919 Parallel Pkwy, Suite 550, Kansas City, KS 66112-1545 |
| Katie Szewc-vanwinkle | Chiropractic | Alignance Chiropractic, Inc. | 8833 State Ave, Kansas City, KS 66112-1610 |
| Meggan Marie Jacks | Chiropractic | Alignance Chiropractic, Inc. | 8833 State Ave, Kansas City, KS 66112-1610 |
| Find all physicians in zip 66112 | |||
| City | KANSAS CITY |
| Zip Code | 66112 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KANSAS CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tisha L Nickel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.