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CONNIE NICKELSON MD
NPI 1841229903
Internal Medicine in Morristown, TN

Active since July 01, 2006PECOS Enrolled
4260 OAK TRACE DR, MORRISTOWN, TN 37813(423) 492-3770 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Connie Nickelson Md NPPES

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

CONNIE NICKELSON MD (NPI 1841229903) is an individual internal medicine provider in Morristown, Tennessee, licensed in Tennessee (38911) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841229903
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCONNIE NICKELSONCredential: MD
Location Address4260 OAK TRACE DRMorristown, TN 37813-1378
Mailing Address4260 Oak Trace DrMorristown, TN 37813-1378 · (423) 492-3770
Phone(423) 492-3770
Sole ProprietorNo
Enumeration DateJuly 1, 2006
Last NPPES UpdateMay 8, 2017
✔ NPI 1841229903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 38911
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4260 OAK TRACE DR, Morristown, TN 37813
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connie Nickelson Md 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Connie Nickelson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group, PLLC
6.1 mi
Pediatrics
1817 W MORRIS BLVD
Morristown, TN 37813
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,003 clinicians in this Medicare group
NPI 1285132845 (423) 581-3904
Wellmont Medical Associates, Inc.
17 mi
Internal Medicine
405 SCENIC DR, SUITE A
Rogersville, TN 37857
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1689032575 (423) 921-3490
App Of Tennessee Hm, PLLC
187 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433
Hospital Medicine Services Of Tennessee PC
220 mi
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Tennessee enrollment
  • 394 clinicians in this Medicare group
NPI 1528433802 (812) 537-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37813 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Connie Nickelson's NPI number?

The NPI number for Connie Nickelson is 1841229903. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Connie Nickelson located?

Connie Nickelson practices at 4260 Oak Trace Dr, Morristown, TN 37813. The listed phone number is (423) 492-3770.

What is Connie Nickelson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Connie Nickelson enrolled in Medicare?

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

Which organizations bill Medicare for Connie Nickelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connie Nickelson reassigns Medicare benefits to 4 organizations: Summit Medical Group, PLLC (Morristown, TN), Wellmont Medical Associates, Inc. (Rogersville, TN), App Of Tennessee Hm, PLLC (Shelbyville, TN) and Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connie Nickelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Connie Nickelson was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.