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

Mr. Nickolas Lee Childress

Individual provider Nurse Practitioner · NPI 1225906282

Mr. Nickolas Lee Childress is a Nurse Practitioner in Rochester, Indiana. Qualified in 2025, 1 year ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025

Practice location Address checks out

392 Rochester Crossing Dr
Rochester, IN 46975-7034
Phone: (574) 325-5912
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7101337A (IN)

Record details

NPI number1225906282
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rochester