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

Individual provider Family Medicine Physician · NPI 1679634562

Dr. Robert L Nichols, MD is a Family Practice in Santa Teresa, New Mexico. Graduated from University of New Mexico School of Medicine in 1993, 33 years ago. Accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
33
Trained at
University of New Mexico School of Medicine
Licensed in
NM
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

1300 Country Club Rd
Santa Teresa, NM 88008
Phone: (505) 589-4000
Fax: (505) 589-7225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 94-344 (NM)
Family Medicine Physician Taxonomy 207Q00000X · Licence 94-344 (NM)

Record details

NPI number1679634562
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 1558, Santa Teresa, NM 88008

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGENERAL PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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