ADAM TODD NICKEL (DO) – Obstetrics Physician, NPI 1053604819

ADAM TODD NICKEL (DO) is a healthcare provider. based in Tacoma, Washington. specializing in Obstetrics Physician. They hold the professional credentials DO. They hold a License No. 58.003060 (OH). The NPI Number for ADAM TODD NICKEL (DO) is 1053604819

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
ADAM TODD NICKEL (DO)
NPI
1053604819
Phone
Not provided
Address
222 N J ST
Enumeration Date
26 May 2011
Last Update Date
7 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535724664
Graduation Year
2008 (18 years ago)
PAC ID
4688826142
Professional Enrollment ID
I20121207000044
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

Provider Addresses for ADAM TODD NICKEL (DO)

  • 222 N J ST

    TACOMA, WA 984031984

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2023-09-08 • Largest payer in this snapshot: ABBVIE INC. ($61).

Total Amount

$74

General + Research + Ownership

Payments

4

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-08

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: 2012-12-07

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
I20121207000044IObstetrics/GynecologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98403)

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Reviews

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Frequently asked questions

What federal number belongs to ADAM TODD NICKEL (DO)?
The federal identifier for ADAM TODD NICKEL (DO) is NPI 1053604819.
Does this profile mean ADAM TODD NICKEL (DO) is currently active?
Yes — ADAM TODD NICKEL (DO) appears active in the national provider directory.
Does ADAM TODD NICKEL (DO) list a primary specialty?
If you are matching referrals, note Obstetrics Physician for ADAM TODD NICKEL (DO). Clinical services aligned with this taxonomy classification.
Does ADAM TODD NICKEL (DO) practice in Washington?
You will see Tacoma, Washington on file for ADAM TODD NICKEL (DO) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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