MR. SCOTT LEE NICKELL MSN, FNP
NPI 1306099825
Nurse Practitioner - Occupational Health in Oakland, CA

Q: What is Scott Nickell's NPI number?

The NPI number for Scott Nickell is 1306099825. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Q: What is Scott Nickell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

Q: When was this NPI record last updated?

The NPPES record for Scott Nickell was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 28, 2008PECOS Enrolled

747 52ND ST, OAKLAND, CA 94609(510) 428-3621(510) 450-5693 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Scott Lee Nickell Msn, Fnp NPPES

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

MR. SCOTT LEE NICKELL MSN, FNP (NPI 1306099825) is an individual occupational health provider in Oakland, California, licensed in California (NP13117) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1306099825

Entity TypeIndividualMale

Primary Taxonomy363LX0106X

Provider Legal NameMR. SCOTT LEE NICKELLCredential: MSN, FNP

Location Address747 52ND STOakland, CA 94609-1809

Mailing Address747 52nd StOakland, CA 94609-1809 · (510) 428-3621 · Fax (510) 450-5693

Phone(510) 428-3621

Fax(510) 450-5693

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateOctober 28, 2008

Last NPPES UpdateMay 28, 2026

NPPES CertifiedMay 28, 2026

✔ NPI 1306099825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Occupational HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0106X

License✔ Licensed in CA · NP13117

Also ListedRegistered Nurse · Occupational HealthTaxonomy 163WX0106X · License 551822 (CA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 13117 (CA)

747 52ND ST, Oakland, CA 94609

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Scott Lee Nickell Msn, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426520727

PECOS Enrollment IDI20260617004119

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 94609 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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.

MRS. SHERYL LEE GARCIA RN

Registered Nurse (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ERICA TRINGALE N.P,

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3373

MRS. NATALIE PLOTKIN MS, ACPNP

Pediatrics (Pediatric Hematology-Oncology)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3484

REBECCA ROMANOV MD

Pediatrics

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3331

SHELLEY ANNE BULL CPNP-PC

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

KARIDA ADETORO

Student in an Organized Health Care Education/Training Program

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ANNIE ROQUE

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-4418

CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND

General Acute Care Hospital

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

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 Scott Nickell's NPI number?

The NPI number for Scott Nickell is 1306099825. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Scott Nickell located?

Scott Nickell practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3621.

What is Scott Nickell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

Is Scott Nickell enrolled in Medicare?

Yes. Scott Nickell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Nickell was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.