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

John Stephan Nichols

Individual provider Neurological Surgery Physician · NPI 1306856752

John Stephan Nichols is a Neurosurgery in Lakewood, Colorado. Graduated from University of Texas Southwestern Medical School at Dallas in 1984, 42 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
42
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
CO
In the registry since
2006
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Practice location Address checks out

11750 W 2nd Pl Ste 255
Lakewood, CO 80228-1575
Phone: (720) 321-8040
Fax: (720) 321-8041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 407 S Schwartz Ave Ste 101, Farmington, NM 87401-5925 — (505) 609-6595

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 26919 (CO)

Record details

NPI number1306856752
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESApril 23, 2018
Mailing addressPo Box 6210, Farmington, NM 87499-6210

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1984 (42 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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