WILLIAM NICKLES M.D.
NPI 1902252455
Family Medicine in Fayetteville, NC

Active since May 13, 2016PECOS Enrolled
1601 OWEN DR, FAYETTEVILLE, NC 28304(910) 678-0100(910) 678-0115 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About William Nickles M.d. NPPES

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

WILLIAM NICKLES M.D. (NPI 1902252455) is an individual family medicine provider in Fayetteville, North Carolina, licensed in North Carolina (217600) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902252455
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM NICKLESCredential: M.D.
Location Address1601 OWEN DRFayetteville, NC 28304-3425
Mailing Address1601 Owen DrFayetteville, NC 28304-3425 · (910) 678-0100 · Fax (910) 678-0115
Fax(910) 678-0115
Sole ProprietorNo
Enumeration DateMay 13, 2016
NPI 1902252455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 217600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1601 OWEN DR, Fayetteville, NC 28304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

William Nickles M.d. 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 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine (Infectious Disease)
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304

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 Nickles's NPI number?

The NPI number for William Nickles is 1902252455. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is William Nickles located?

William Nickles practices at 1601 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 678-0100.

What is William Nickles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Nickles enrolled in Medicare?

Yes. William Nickles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Nickles was last updated on May 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.