COOPER L NICKEL (M.D.) – Family Medicine Physician, NPI 1396279378

COOPER L NICKEL (M.D.) is a healthcare provider. based in Salina, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 04-41127 (KS). The NPI Number for COOPER L NICKEL (M.D.) is 1396279378

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
COOPER L NICKEL (M.D.)
NPI
1396279378
Phone
(785) 825-7251
Address
651 E PRESCOTT RD
Enumeration Date
17 April 2017
Last Update Date
7 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
7810265444
Group Practice PAC ID
8022928225
Professional Enrollment ID
I20190125000445
Address ID
KS677490000OBPOXXXBOXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

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Provider Addresses for COOPER L NICKEL (M.D.)

  • 651, East Prescott Road, Salina, Saline County, Kansas, 67401, United States

    SALINA, KS 674017408

    Phone: (785) 825-7251

    Fax: (785) 825-6887

    Type: Mailing

  • 4612 HEARTHSIDE DR

    LAWRENCE, KS 660493740

    Phone:

    Type: Mailing

  • 1719 HIGHWAY 183

    PHILLIPSBURG, KS 676612549

    Phone: (785) 543-5211

    Fax: (785) 543-5274

    Type: Location

  • 761 W 175TH ST S

    CALDWELL, KS 670228301

    Phone: (620) 845-6492

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $267.

Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($125).

Total Amount

$267

General + Research + Ownership

Payments

12

Total payment records

General Amount

$267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

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: 2019-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190125000445IFamily PracticeKSTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1914$0
View full utilization report →

Insurance plans in this area (ZIP 67401)

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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: 8022928225View full group profile
NameSpecialtyState
Physician AssistantKS
Physician AssistantKS
Family PracticeNE

Reviews

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Frequently asked questions

What unique ID ties claims to COOPER L NICKEL (M.D.)?
NPI 1396279378 is assigned to COOPER L NICKEL (M.D.) under the national enumeration system.
Is COOPER L NICKEL (M.D.) currently active in the NPI registry?
CMS-published data lists COOPER L NICKEL (M.D.) as an active registrant.
Can you summarize COOPER L NICKEL (M.D.)'s specialty in plain language?
Clinically, the directory lists COOPER L NICKEL (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for COOPER L NICKEL (M.D.)?
The page summarizes Salina, Kansas for COOPER L NICKEL (M.D.); expand the address list for detail.
Is COOPER L NICKEL (M.D.) a real provider?
This page reflects official NPPES data for NPI 1396279378. Always confirm identity and privileges with the practice and licensing boards.

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