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ROBERT A. NICKELSON M.D.
NPI 1023019064
Internal Medicine - Hematology & Oncology in Shreveport, LA

Active since August 01, 2005PECOS Enrolled
2600 KINGS HWY, SUITE 340, SHREVEPORT, LA 71103(318) 212-8620(318) 212-8625 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert A. Nickelson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT A. NICKELSON M.D. (NPI 1023019064) is an individual hematology & oncology provider in Shreveport, Louisiana, licensed in Louisiana (015593) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023019064
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameROBERT A. NICKELSONCredential: M.D.
Location Address2600 KINGS HWY, SUITE 340Shreveport, LA 71103
Mailing Address2600 Kings Hwy, Suite 340Shreveport, LA 71103 · (318) 212-8620 · Fax (318) 212-8625
Phone(318) 212-8620
Fax(318) 212-8625
Sole ProprietorNo
Enumeration DateAugust 1, 2005
Last NPPES UpdateDecember 18, 2007
✔ NPI 1023019064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in LA · 015593
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2600 KINGS HWY, Shreveport, LA 71103
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Other Identifiers 2

Medicare PIN5K851LA
Medicaid1322741LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert A. Nickelson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$17.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI E WIMBERLY PA-C
Physician Assistant (Medical)
2600 KINGS HWY, DEPARTMENT OF RADIATION ONCOLOGY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
DANIELLA PHUONG-DI DANG M.D.
Radiology (Radiation Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
JOYCE E FEAGIN MD AND WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8620
ANIL VELUVOLU MD
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY, SUITE 340
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8620
DR. SANFORD RORY KATZ M.D.
Radiology (Radiation Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
DR. MICHAEL LEONARD DURCI M.D.
Radiology (Radiation Oncology)
2600 KINGS HWY, WILLIS KNIGHTON CANCER CENTER
SHREVEPORT, LA 71103
Caddo Parish (318) 212-4639
JOYCE ELIZABETH FEAGIN MD
Internal Medicine (Hematology & Oncology)
2600 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8620
DESTIN R. BLACK MD
Obstetrics & Gynecology (Gynecologic Oncology)
2600 KINGS HWY, SUITE 420
SHREVEPORT, LA 71103
Caddo Parish (318) 212-8727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Nickelson's NPI number?

The NPI number for Robert Nickelson is 1023019064. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is Robert Nickelson located?

Robert Nickelson practices at 2600 Kings Hwy Suite 340, Shreveport, LA 71103. The listed phone number is (318) 212-8620.

What is Robert Nickelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Robert Nickelson enrolled in Medicare?

Yes. Robert Nickelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Nickelson was last updated on December 18, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.