DR. ROBERT L NICHOLS MD
NPI 1679634562
General Practice in Santa Teresa, NM

Active since December 13, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 32D0973822 · Waiver
1300 COUNTRY CLUB ROAD, SANTA TERESA, NM 88008(505) 589-4000(505) 589-7225 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert L Nichols Md NPPES

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

DR. ROBERT L NICHOLS MD (NPI 1679634562) is an individual general practice provider in Santa Teresa, New Mexico, licensed in New Mexico (94-344) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through May 21, 2028, and is affiliated with Sierra Medical Center.

NPPES Registry Identity

NPI1679634562
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ROBERT L NICHOLSCredential: MD
Location Address1300 COUNTRY CLUB ROADSanta Teresa, NM 88008
Mailing AddressPo Box 1558Santa Teresa, NM 88008 · (505) 589-4000 · Fax (505) 589-7225
Fax(505) 589-7225
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1993
Enumeration DateDecember 13, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1679634562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NM · 94-344
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License 94-344 (NM)
1300 COUNTRY CLUB ROAD, Santa Teresa, NM 88008

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

Dr. Robert L Nichols Md 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 ID6901860071
PECOS Enrollment IDI20041117001251
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D0973822

Robert L Nichols MD PC · Santa Teresa, NM
Active · expires May 21, 2028
CLIA Number32D0973822
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorRobert L. Nichols MD PC
Laboratory Phone(575) 589-4000
Laboratory LocationRobert L Nichols MD PC1300 Country Club Road Suite D, Santa Teresa, NM 88008
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
251 services112 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
152 services104 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services62 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
95 services62 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
92 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
90 services90 patients

Hospital Affiliations CMS Care Compare 2

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

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

The Hospitals Of Providence Transmountain Campus

Acute Care Hospitals · El Paso, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number670120
Location2000 Transmountain RdEl Paso, TX 79911 · El Paso County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims34 services$4.28 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$182.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nichols's NPI number?

The NPI number for Robert Nichols is 1679634562. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Robert Nichols located?

Robert Nichols practices at 1300 Country Club Road, Santa Teresa, NM 88008. The listed phone number is (505) 589-4000.

What is Robert Nichols's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Robert Nichols enrolled in Medicare?

Yes. Robert Nichols 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.

Does Robert Nichols hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0973822) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Robert Nichols affiliated with any hospitals?

According to CMS data, Robert Nichols is affiliated with Sierra Medical Center and The Hospitals Of Providence Transmountain Campus.

When was this NPI record last updated?

The NPPES record for Robert Nichols was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.