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

Tyson B Nickels, FNP

Individual provider Nurse Practitioner · NPI 1982384129

Tyson B Nickels, FNP is a Nurse Practitioner in Kingsport, Tennessee. Qualified in 2022, 4 years ago. Practices with Wellmont Medical Associates Inc, a 435-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
4
Licensed in
TN, VA
In the registry since
2023
Specialties on file
4
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

111 W Stone Dr Ste 110
Kingsport, TN 37660-6027
Phone: (423) 224-3701
Fax: (423) 224-3709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 2686 W State St, Bristol, TN 37620-1817 — (423) 844-0026
  • 438 E Vann Rd Ste 301, Greeneville, TN 37743-7202 — (423) 787-7496
  • 405 Scenic Dr Ste A, Rogersville, TN 37857-2441 — (423) 921-3490
  • 24530 Falcon Place Blvd Ste 100, Abingdon, VA 24211-7665 — (276) 619-0075
  • 344 Overlook Dr Ste 200, Lebanon, VA 24266-3436 — (276) 883-5900
  • 245 Medical Park Dr Ste C, Marion, VA 24354-1100 — (276) 378-3300
  • 601 Commonwealth Dr, Norton, VA 24273-4053 — (276) 679-6028

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 34307 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024187654 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 34307 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024187654 (VA)

Record details

NPI number1982384129
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 21, 2023
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wellmont Medical Associates Inc — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kingsport