STANLEY MICHAEL NICKARZ (MD) – Family Medicine Physician, NPI 1497240188

STANLEY MICHAEL NICKARZ (MD) is a healthcare provider. based in Waterloo, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. R11175 (IA). The NPI Number for STANLEY MICHAEL NICKARZ (MD) is 1497240188

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
STANLEY MICHAEL NICKARZ (MD)
NPI
1497240188
Phone
(319) 272-2112
Address
2055 KIMBALL AVE STE 101
Enumeration Date
26 June 2018
Last Update Date
22 July 2021

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3042589433
Graduation Year
2016 (10 years ago)
PAC ID
1557605383
Group Practice PAC ID
1355479460
Professional Enrollment ID
I20240524003150
Address ID
WV254114614BE3774XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for STANLEY MICHAEL NICKARZ (MD)

  • Kimball Avenue, Waterloo, Black Hawk County, Iowa, 50701, United States

    WATERLOO, IA 507025047

    Phone: (319) 272-2112

    Fax: (319) 272-2107

    Type: Mailing

  • 8117 PRESTON RD STE 800

    DALLAS, TX 752256328

    Phone:

    Type: Mailing

  • 100 HOSPITAL AVE

    DU BOIS, PA 158011440

    Phone: (814) 371-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240524003150IFamily PracticeWVTBD
I20241218002741IFamily PracticeVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes194183$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 50702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355479460View full group profile
NameSpecialtyState
Nurse PractitionerWV
Internal MedicineWV
Nurse PractitionerWV
Internal MedicineMD
Emergency MedicineMD
Internal MedicineVA
Family Practice, Emergency MedicineVA
Emergency MedicineVA
Emergency MedicineMD
Nephrology, Internal Medicine, Internal MedicineNY

Reviews

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Frequently asked questions

How is STANLEY MICHAEL NICKARZ (MD) identified in CMS data?
CMS-hosted NPPES data lists STANLEY MICHAEL NICKARZ (MD) with NPI 1497240188.
Is STANLEY MICHAEL NICKARZ (MD) still practicing?
STANLEY MICHAEL NICKARZ (MD) is currently listed as active in the public NPI registry.
What healthcare role does STANLEY MICHAEL NICKARZ (MD) hold?
Scheduling teams often label STANLEY MICHAEL NICKARZ (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for STANLEY MICHAEL NICKARZ (MD)?
STANLEY MICHAEL NICKARZ (MD)'s geographic hint is Waterloo, Iowa in our summary view.
Why does STANLEY MICHAEL NICKARZ (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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