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

Tyson Ryley Nickelson

Individual provider Nurse Practitioner · NPI 1972194751

Tyson Ryley Nickelson is a Nurse Practitioner in Manhattan, Kansas. Qualified in 2020, 6 years ago. Practices with Manhattan Medical Group LLC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
6
Licensed in
KS
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 Research Dr
Manhattan, KS 66503-3049
Phone: (785) 539-4644
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 53-79960-011 (KS)

Record details

NPI number1972194751
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021
Mailing address3517 Churchill Way, Manhattan, KS 66503-0384

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Manhattan Medical Group Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Manhattan