William David Nickell, PA-C - Medicare Physician Assistant in Kettering, OH

William David Nickell, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Kettering, Ohio. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 3533 Southern Blvd Ste 5650, Kettering, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 294-3611.

William David Nickell is licensed to practice in Ohio (license number 003357) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376826925.

Contact Information

William David Nickell, PA-C
3533 Southern Blvd Ste 5650,
Kettering, OH 45429-1263
(937) 294-3611
(937) 294-9010

Map and Direction




Provider's Profile

Full NameWilliam David Nickell
GenderMale
SpecialityPhysician Assistant
Experience13 Years
Location3533 Southern Blvd Ste 5650, Kettering, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • William David Nickell graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1376826925
  • Provider Enumeration Date: 09/20/2011
  • Last Update Date: 01/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062303423
  • Enrollment ID: I20120120000537

Medical Identifiers

Medical identifiers for William David Nickell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376826925NPI-NPPES
0085670MedicaidOH
12286408OtherCIGNA/GREAT-WEST HEALTHCARE/SAGAMORE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 003357 (Ohio)Secondary
363AM0700XPhysician Assistant - Medical 003357 (Ohio)Secondary
363AS0400XPhysician Assistant - Surgical 003357 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kettering Medical CenterKettering, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936577

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William David Nickell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
William David Nickell, PA-C
3533 Southern Blvd, Suite 5650,
Kettering, OH 45429-1264

Ph: (937) 294-3611
William David Nickell, PA-C
3533 Southern Blvd Ste 5650,
Kettering, OH 45429-1263

Ph: (937) 294-3611

Reviews and Comments


Physician Assistant Nurses in Kettering, OH

Milena Menchaca, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    
Annabeth Pruett Barry, PA-C, MBA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 424 E Stroop Rd Unit B, Kettering, OH 45429
Phone: 937-562-2300    Fax: 937-562-2302
Miss Kathryn Paige Schwendler, MPAS, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    
Michael D Kelley, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-6665    Fax: 937-395-6668
Marie Therese Mualla Oram, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429
Phone: 937-643-9299    Fax: 937-643-2343
Mr. David Evans, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3533 Southern Blvd Ste 2250, Kettering, OH 45429
Phone: 937-534-0330    Fax: 937-522-8995
Julie C Williams, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.