TYSON B NICKELS FNP
NPI 1982384129
Nurse Practitioner - Family in Kingsport, TN

Q: What is Tyson Nickels's NPI number?

The NPI number for Tyson Nickels is 1982384129. It was assigned to this individual provider in the NPPES registry on July 21, 2023.

Q: What is Tyson Nickels's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tyson Nickels was last updated on April 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 21, 2023PECOS EnrolledAccepts Medicare Assignment

111 W STONE DR STE 110, KINGSPORT, TN 37660(423) 224-3701(423) 224-3709 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2026, Oct 9, 2024, Oct 18, 2023 and 2 more (5 updates tracked since 2023).

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About Tyson B Nickels Fnp NPPES

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

TYSON B NICKELS FNP (NPI 1982384129) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (34307) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Russell County Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1982384129

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTYSON B NICKELSCredential: FNP

Location Address111 W STONE DR STE 110Kingsport, TN 37660-6027

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111

Phone(423) 224-3701

Fax(423) 224-3709

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 21, 2023

Last NPPES UpdateApril 22, 20265 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1982384129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TN · 34307✔ Licensed in VA · 0024187654

Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024187654 (VA), 34307 (TN)

111 W STONE DR STE 110, Kingsport, TN 37660

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Secondary Practice Locations 7

Location 1344 Overlook Dr Ste 200Lebanon, VA 24266-3436 · Phone (276) 883-5900

Location 2601 Commonwealth DrNorton, VA 24273-4053 · Phone (276) 679-6028

Location 3245 Medical Park Dr Ste CMarion, VA 24354-1100 · Phone (276) 378-3300

Location 4438 E Vann Rd Ste 301Greeneville, TN 37743-7202 · Phone (423) 787-7496

Location 524530 Falcon Place Blvd Ste 100Abingdon, VA 24211-7665 · Phone (276) 619-0075

Location 6405 Scenic Dr Ste ARogersville, TN 37857-2441 · Phone (423) 921-3490

Location 72686 W State StBristol, TN 37620-1817 · Phone (423) 844-0026

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyson B Nickels Fnp 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 ID9436503984

PECOS Enrollment IDI20231002003106, I20231012000664

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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

169 services150 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

108 services12 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

37 services37 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

25 services22 patients

Detection test by nucleic acid for multiple types influenza virus 87502

A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.

23 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Russell County Hospital

Acute Care Hospitals · Lebanon, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490002

Location58 Carroll StreetLebanon, VA 24266 · Russell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

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.

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Other Providers at the Same Location NPPES 9

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

MRS. AMANDA SUSAN BURNS ARNP

Nurse Practitioner