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

Dr. Jonathan Matthew Nickoloff, MD

Individual provider Surgery Physician · NPI 1891742664

Dr. Jonathan Matthew Nickoloff, MD is a General Surgery in Spokane, Washington. Graduated from Creighton University School of Medicine in 2000, 26 years ago. Practices with Providence Health and Services Washington, a 776-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
26
Trained at
Creighton University School of Medicine
Licensed in
WA
In the registry since
2006
Specialties on file
2
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

9922 N Nevada St
Spokane, WA 99218-1126
Phone: (509) 747-6194
Fax: (509) 838-0824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD00044271 (WA)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence MD00044271 (WA)

Record details

NPI number1891742664
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing addressPo Box 421, Liberty Lake, WA 99019-0421

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesTHORACIC SURGERY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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