Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nickolas Williams

Individual provider Psychiatry Physician · NPI 1053840041

Nickolas Williams practises Psychiatry in Maple Grove, Minnesota. Qualified in 2017, 9 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa.

Years since qualifying
9
Licensed in
IA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

9555 Upland Ln N
Maple Grove, MN 55369-4485
Phone: (952) 993-1440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 Hickman Rd, Des Moines, IA 50314-1505 — (515) 282-5640

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence DO-05601 (IA)
Family Medicine Physician Taxonomy 207Q00000X · Licence R-10976 (IA)

Record details

NPI number1053840041
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2017
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients47
Services billed 236 a service is one billed item, such as a visit, a test or a procedure
Average patient age65

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Park Nicollet Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1773 clinicians in the practice; 12 are shown here.

Other providers in Maple Grove