| Mr Michael Paul Nickell, NURSE PRACTITIONER | |
| 
					15708 Mcconnellsville Rd, Caldwell, OH 43724-9678  | |
| (740) 305-1312 | |
| Not Available | 
| Full Name | Mr Michael Paul Nickell | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 15708 Mcconnellsville Rd, Caldwell, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073264297 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | RN.431204 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0031075 (Ohio) | Primary | 
| Entity Name | Quality Care Associates Urgent Care And Wellness Center, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619442837 PECOS PAC ID: 7810237625 Enrollment ID: O20190313003040  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Michael Paul Nickell, NURSE PRACTITIONER 622 E Cross St, Summerfield, OH 43788-9516 Ph: (740) 995-3852  | Mr Michael Paul Nickell, NURSE PRACTITIONER 15708 Mcconnellsville Rd, Caldwell, OH 43724-9678 Ph: (740) 305-1312  | 
Amy Sue Welch, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44525 Marietta Rd, Caldwell, OH 43724 Phone: 740-732-6851 Fax: 740-732-7425  | |
John Biedenbach, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 Main St, Caldwell, OH 43724 Phone: 740-732-2339 Fax: 740-732-2350  | |
Kathleen Archer, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15708 Mcconnellsville Rd, Ihs, Caldwell, OH 43724 Phone: 740-732-5188 Fax: 740-732-2874  | |
Abigail E Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 Main Street, Caldwell, OH 43724 Phone: 740-732-2339 Fax: 740-732-2350  | |
Miss Rebecca Suzanne Abbott, MS, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15708 Mcconnellsville Rd, Caldwell, OH 43724 Phone: 740-305-1303  | |
Clarice Rebecca Hall, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18125 Woodsfield Rd, Caldwell, OH 43724 Phone: 740-732-7259 Fax: 740-732-7360  | |
Lynn Lee, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 Main St, Caldwell, OH 43724 Phone: 740-732-2339 Fax: 740-732-2350  |