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

Peter Mick, NP-C

Individual provider Nurse Practitioner · NPI 1164074076

Peter Mick, NP-C is a Nurse Practitioner in Great Bend, Kansas. Qualified in 2019, 7 years ago. Practices with Ukhs Great Bend LLC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
7
Licensed in
KS
In the registry since
2019
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

514 Cleveland St
Great Bend, KS 67530-3562
Phone: (620) 792-8833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1005 Williams St, Great Bend, KS 67530-4443 — (620) 285-1915

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 53-78864-062 (KS)

Record details

NPI number1164074076
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 10, 2019
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address514 Cleveland St, Great Bend, KS 67530-3562

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ukhs Great Bend Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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