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WILLIAM DAVID NICKELL PA-C
NPI 1376826925
Physician Assistant - Surgical in Springfield, OH

Active since September 20, 2011PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504(937) 523-9885(937) 523-9887 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2025, Jan 7, 2021, Mar 23, 2017 (3 updates tracked since 2017).

About William David Nickell Pa-c NPPES

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

WILLIAM DAVID NICKELL PA-C (NPI 1376826925) is an individual surgical provider in Springfield, Ohio, licensed in Ohio (003357) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1376826925
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameWILLIAM DAVID NICKELLCredential: PA-C
Location Address100 MEDICAL CENTER DRSpringfield, OH 45504-2687
Mailing Address100 Medical Center DrSpringfield, OH 45504-2687 · (937) 523-9885 · Fax (937) 523-9887
Phone(937) 523-9885
Fax(937) 523-9887
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 20, 2011
Last NPPES UpdateSeptember 24, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1376826925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OH · 003357
Also ListedPhysician AssistantTaxonomy 363A00000X · License 003357 (OH), PAC1180 (ND)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 003357 (OH)
100 MEDICAL CENTER DR, Springfield, OH 45504
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dave Nickell Pa-c

Other Identifiers 2

Medicaid0085670OH
Other12286408Cigna/great-west Healthcare/sagamore

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William David Nickell Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062303423
PECOS Enrollment IDI20120120000537, I20251014003839
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services13 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
12 services12 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

ANDREW EUGENE JOHNSON
Registered Nurse
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-1000
HIDETAKA KITAZONO M.D.
Hospitalist
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-2440
JEREMY WASHINGTON PA-C
Physician Assistant
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-1461
MITCHELL KENT MCCORKLE SRNA
Nurse Anesthetist, Certified Registered
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-1000
CHIDOZIRI C. NWOKORO DO
Emergency Medicine
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-1000
USACS INTEGRATED ACUTE CARE SERVICES OF OHIO, LLC
Internal Medicine
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (844) 474-4019
DR. EUCHARIA CHINWE AKUSOBA MD
Internal Medicine
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (330) 994-4389
DACIA RUSSELL GOMAN MD
Emergency Medicine
100 MEDICAL CENTER DR
SPRINGFIELD, OH 45504
Clark County (937) 523-1000

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 William Nickell's NPI number?

The NPI number for William Nickell is 1376826925. It was assigned to this individual provider in the NPPES registry on September 20, 2011. The provider is also known as Dave Nickell Pa-C.

Where is William Nickell located?

William Nickell practices at 100 Medical Center Dr, Springfield, OH 45504. The listed phone number is (937) 523-9885.

What is William Nickell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is William Nickell enrolled in Medicare?

Yes. William Nickell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Nickell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of North Dakota and CareSource and 5 other insurers list William Nickell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Nickell affiliated with any hospitals?

According to CMS data, William Nickell is affiliated with Sanford Medical Center Fargo and Kettering Health Main Campus.

When was this NPI record last updated?

The NPPES record for William Nickell was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.