KEVIN NICOLL MD
NPI 1932996766
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Kevin Nicoll's NPI number?

The NPI number for Kevin Nicoll is 1932996766. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Q: What is Kevin Nicoll's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Nicoll was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 24, 2025PECOS Enrolled

3100 N CENTRAL AVE, PHOENIX, AZ 85012(602) 406-3000 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kevin Nicoll Md NPPES

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

KEVIN NICOLL MD (NPI 1932996766) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932996766

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKEVIN NICOLLCredential: MD

Location Address3100 N CENTRAL AVEPhoenix, AZ 85012-2637

Mailing Address3100 N Central AvePhoenix, AZ 85012-2637

Phone(602) 406-3000

Sole ProprietorNo

Enumeration DateApril 24, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1932996766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3100 N CENTRAL AVE, Phoenix, AZ 85012

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Nicoll 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.

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.

JENNY B NGUYEN

Student in an Organized Health Care Education/Training Program