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

Nicole Niehues Dacy, MD

Individual provider Dermatology Physician · NPI 1790244820

Nicole Niehues Dacy, MD is a Dermatology in San Angelo, Texas. Graduated from Texas a & M University System, Hsc, College of Medicine in 2019, 7 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
TX
In the registry since
2019
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

3605 Executive Dr
San Angelo, TX 76904-6884
Phone: (325) 747-2215
Fax: (325) 747-4551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence T8791 (TX)

Record details

NPI number1790244820
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESSeptember 7, 2023
Certification dateAugust 29, 2023

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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