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

Kent A Nickell, MD

Individual provider Anatomic Pathology Physician · NPI 1942270004

Kent A Nickell, MD is a Pathology in Waterloo, Iowa. Graduated from Mayo Medical School in 1982, 44 years ago. Practices with Mercy Health System Corporation, a 751-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
44
Trained at
Mayo Medical School
Licensed in
IA, IL
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1825 Logan Ave Northeast Iowa Pathology Associates Pc
Waterloo, IA 50703-1916
Phone: (319) 235-3679
Fax: (319) 233-0722
Show map & directions

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

Additional practice locations (4)

  • 875 S Route 31, Crystal Lake, IL 60014-8190 — (779) 220-5500
  • 1045 W Stephenson St, Freeport, IL 61032-4864 — (815) 599-6000
  • 1045 W Stephenson St, Freeport, IL 61032-4864 — (815) 599-6000
  • 8201 E Riverside Blvd, Rockford, IL 61114-2300 — (815) 971-7000

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 036.148445 (IL)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 32811 (IA)
Cytopathology Physician Taxonomy 207ZC0500X · Licence 036148445 (IL)

Record details

NPI number1942270004
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address29624 Network Pl, Chicago, IL 60673-1296

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 1982 (44 years in practice)
Group practice Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Waterloo