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

Nicole Jean Formhals, MD

Individual provider Family Medicine Physician · NPI 1396313987

Nicole Jean Formhals, MD is a Family Practice in Columbia, Missouri. Qualified in 2021, 5 years ago. Practices with The Curators of the University of Missouri, a 1,093-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

551 Veterans United Dr
Columbia, MO 65201-8397
Phone: (573) 884-7733
Fax: (573) 882-6228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2024010509 (MO)

Record details

NPI number1396313987
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Curators Of The University Of Missouri — 1093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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