Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David A. Nickel, MD

Individual provider Surgery Physician · NPI 1295796118

Dr. David A. Nickel, MD is a General Surgery in Lake St Louis, Missouri. Graduated from University of Nebraska College of Medicine in 1995, 31 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
31
Trained at
University of Nebraska College of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Medical Plz Ste 310
Lake St Louis, MO 63367-1484
Phone: (636) 625-2662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 1st Capitol Dr, Saint Charles, MO 63301-2880 — (636) 669-2332

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2000153513 (MO)

Record details

NPI number1295796118
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing addressPo Box 955534 Suite 310, Saint Louis, MO 63195-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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