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KENT A NICKELL M.D.
NPI 1942270004
Pathology - Anatomic Pathology in Waterloo, IA

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
1825 LOGAN AVE, NORTHEAST IOWA PATHOLOGY ASSOCIATES,PC, WATERLOO, IA 50703(319) 235-3679(319) 233-0722 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Apr 1, 2026, Oct 10, 2023 and 1 more (4 updates tracked since 2019).

About Kent A Nickell M.d. NPPES

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

KENT A NICKELL M.D. (NPI 1942270004) is an individual anatomic pathology provider in Waterloo, Iowa, licensed in Illinois (036.148445) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1942270004
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameKENT A NICKELLCredential: M.D.
Location Address1825 LOGAN AVE, NORTHEAST IOWA PATHOLOGY ASSOCIATES,PCWaterloo, IA 50703-1916
Mailing Address29624 Network PlChicago, IL 60673-1296 · (815) 971-5000
Phone(319) 235-3679
Fax(319) 233-0722
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 1982
Enumeration DateJanuary 23, 2006
Last NPPES UpdateApril 20, 20264 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1942270004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
Licenses✔ Licensed in IL · 036.148445✔ Licensed in IA · 32811
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 036148445 (IL)
1825 LOGAN AVE, Waterloo, IA 50703
Open in Google Maps ↗

Secondary Practice Locations 3

Location 18201 E Riverside BlvdRockford, IL 61114-2300 · Phone (815) 971-7000 · Fax (815) 968-4795
Location 21045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000
Location 3875 S Route 31Crystal Lake, IL 60014-8190 · Phone (779) 220-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kent A Nickell M.d. 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 ID1759271745
PECOS Enrollment IDI20190429002691, I20190516001597
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

5

Medicare enrollment records show Kent Nickell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Freeport Memorial Hospital
140 mi
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 478 clinicians in this Medicare group
NPI 1447228788 (815) 599-6000
Freeport Regional Health Care Foundation
140 mi
Family Medicine
1036 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 391 clinicians in this Medicare group
NPI 1457337016 (815) 599-6000
Rockford Health Physicians
167 mi
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1023275278 (815) 971-5000
Mercy Health System Corporation
169 mi
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Illinois and Wisconsin enrollments
  • Also billed through NPI 1699728550 (Wisconsin)
  • 671 clinicians in this Medicare group
NPI 1598718603 (608) 741-7630
Mercy Harvard Hospital Inc
191 mi
Critical Access
901 GRANT ST
Harvard, IL 60033
  • Reassigned Medicare billing, Illinois enrollment
  • 382 clinicians in this Medicare group
NPI 1427001445 (815) 943-5431

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

Areas of Expertise CMS Part B claims 14

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
496 services218 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
116 services25 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
100 services62 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
41 services38 patients
Cell examination of specimen, concentration technique 88108
Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.
30 services28 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
20 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Mercyhealth Hospital & Physician Clinic-Crystal La

Acute Care Hospitals · Crystal Lake, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140308
Location875 S Route 31Crystal Lake, IL 60014 · Mc Henry County
Emergency services

Mercy Harvard Hospital

Critical Access Hospitals · Harvard, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141335
Location901 S Grant StreetHarvard, IL 60033 · Mc Henry County
Emergency services

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

DR. KEERAN GHANDIVEL MD
Anesthesiology
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3886
MS. AMANDA L. VERVAECKE A.R.N.P.
Nurse Practitioner
1825 LOGAN AVE, WOUND & OSTOMY CLINIC
WATERLOO, IA 50703
Black Hawk County (319) 235-3121
TAYLOR KRISTIN KLINE PA, RDN
Physician Assistant
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
ALLEN MEMORIAL HOSPITAL CORPORATION LAB
Clinical Medical Laboratory
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
ELVIS SABIC ARNP
Nurse Practitioner (Family)
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
DR. PRADEEP MANJANBAIL RAMESH MD
Internal Medicine
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3838
SUSAN MUELLER PHARMD
Pharmacist
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3510
HANNAH LEIGH KELLEY LMSW
Social Worker (Clinical)
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (563) 271-7700

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 Kent Nickell's NPI number?

The NPI number for Kent Nickell is 1942270004. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Kent Nickell located?

Kent Nickell practices at 1825 Logan Ave Northeast Iowa Pathology Associates,pc, Waterloo, IA 50703. The listed phone number is (319) 235-3679.

What is Kent Nickell's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Kent Nickell enrolled in Medicare?

Yes. Kent Nickell 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.

Which organizations bill Medicare for Kent Nickell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kent Nickell reassigns Medicare benefits to 5 organizations: Freeport Memorial Hospital (Freeport, IL), Freeport Regional Health Care Foundation (Freeport, IL), Rockford Health Physicians (Rockford, IL), Mercy Health System Corporation (Janesville, WI) and Mercy Harvard Hospital Inc (Harvard, IL). 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 Kent Nickell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kent Nickell accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Kent Nickell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kent Nickell affiliated with any hospitals?

According to CMS data, Kent Nickell is affiliated with Fhn Memorial Hospital, Javon Bea Hospital, Mercyhealth Hospital & Physician Clinic-Crystal La, Mercy Harvard Hospital and Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Kent Nickell was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.