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

Dr. Nicholas Wade Stull, DO

Individual provider Emergency Medicine Physician · NPI 1811384704

Dr. Nicholas Wade Stull, DO is an Emergency Medicine in Waterloo, Iowa. Graduated from Michigan State University College of Osteopathic Medicine in 2015, 11 years ago. Practices with Interlochen Emergency Group PC, a 50-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2015
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.

See every abbreviation used in this directory →

Practice location Address checks out

3421 W 9th St
Waterloo, IA 50702-5401
Phone: (319) 272-8000
Fax: (319) 272-7313
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101021742 (MI)

Record details

NPI number1811384704
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 19, 2015
Last updated in NPPESJuly 24, 2023
Certification dateJuly 24, 2023
Mailing address3421 W 9th St, Waterloo, IA 50702-5401

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Interlochen Emergency Group Pc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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