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

Kristin Nickles

Individual provider Nurse Practitioner · NPI 1588115828

Kristin Nickles is a Nurse Practitioner in Portsmouth, Ohio. Qualified in 2016, 10 years ago. Practices with Somc Medical Care Foundation, Inc, a 382-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
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Practice location Address checks out

1805 27th St
Portsmouth, OH 45662-3250
Phone: (740) 356-2567
Fax: (740) 356-2509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.020180 (OH)

Record details

NPI number1588115828
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2016
Last updated in NPPESDecember 18, 2020
Certification dateDecember 18, 2020
Mailing address1735 27th St Ste B06, Portsmouth, OH 45662-2681

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Somc Medical Care Foundation, Inc. — 382 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portsmouth