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

Individual provider Neurology Physician · NPI 1093154072

Dr. Nicki Niemann, MD is a Neurology in Phoenix, Arizona. Qualified in 2012, 14 years ago. Practices with San Carlos Apache Healthcare Corporation, a 145-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Texas.

Years since qualifying
14
Licensed in
AZ, TX
In the registry since
2013
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

240 W Thomas Rd # 301
Phoenix, AZ 85013-8581
Phone: (602) 406-6262
Fax: (602) 406-6261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 57232 (AZ)
Neurology Physician Taxonomy 2084N0400X · Licence 575192 (TX)

Record details

NPI number1093154072
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 23, 2013
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice San Carlos Apache Healthcare Corporation — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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