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

Dr. Mark Ryan Nikkel, DO

Individual provider Orthopaedic Surgery Physician · NPI 1699762336

Dr. Mark Ryan Nikkel, DO is an Orthopedic Surgery in South Haven, Michigan. Qualified in 2001, 25 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
25
Licensed in
IL
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

955 S Bailey Ave
South Haven, MI 49090-6743
Phone: (269) 637-5271
Fax: (269) 639-2818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 36100980 (IL)

Record details

NPI number1699762336
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESNovember 27, 2023
Certification dateOctober 9, 2020
Mailing address955 S Bailey Ave, South Haven, MI 49090-6743

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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