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DR. KIM NICKELSON MD
NPI 1861473589
Internal Medicine in Plantation, FL

Active since November 09, 2005PECOS Enrolled
301 NW 84TH AVE STE 101, PLANTATION, FL 33324(954) 581-1900 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2022, Nov 29, 2021, Aug 27, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Kim Nickelson Md NPPES

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

DR. KIM NICKELSON MD (NPI 1861473589) is an individual internal medicine provider in Plantation, Florida, licensed in Florida (MA50822) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Plantation.

NPPES Registry Identity

NPI1861473589
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KIM NICKELSONCredential: MD
Location Address301 NW 84TH AVE STE 101Plantation, FL 33324-1807
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(954) 581-1900
Sole ProprietorYes
Enumeration DateNovember 9, 2005
Last NPPES UpdateSeptember 23, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1861473589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · MA50822
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.
301 NW 84TH AVE STE 101, Plantation, FL 33324
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Secondary Practice Location 1

Location 1499 NW 70th Ave, Suite 200Plantation, FL 33317-7500 · Phone (954) 581-1900 · Fax (954) 321-2675

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33324 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 6

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

DR. GAIL BONNER KIEM MD
Internal Medicine
301 NW 84TH AVE STE 101
PLANTATION, FL 33324
Broward County (954) 581-1900
ELIZABETH DE LA NUEZ
Family Medicine
301 NW 84TH AVE STE 101
PLANTATION, FL 33324
Broward County (954) 581-1900
CAROLINE LOPEZ-DIAZ M.D
Internal Medicine
301 NW 84TH AVE STE 101
PLANTATION, FL 33324
Broward County (954) 807-2082
DR. ALEJANDRO ROBERTO LUNA D.O.
Internal Medicine
301 NW 84TH AVE STE 101
PLANTATION, FL 33324
Broward County (954) 581-1900
PRINCY B BHARDWAJ APRN
Nurse Practitioner (Family)
301 NW 84TH AVE STE 101
PLANTATION, FL 33324
Broward County (954) 581-1900
CONVIVA MEDICAL CENTER MANAGEMENT LLC
Internal Medicine
301 NW 84TH AVE STE 101
PLANTATION, FL 33324
Broward County (954) 581-1900

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 Kim Nickelson's NPI number?

The NPI number for Kim Nickelson is 1861473589. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Kim Nickelson located?

Kim Nickelson practices at 301 NW 84th Ave Ste 101, Plantation, FL 33324. The listed phone number is (954) 581-1900.

What is Kim Nickelson's specialty?

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

Is Kim Nickelson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kim Nickelson was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.