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

William David Nickell, PA-C

Individual provider Medical Physician Assistant · NPI 1376826925

William David Nickell, PA-C is a Physician Assistant in Springfield, Ohio. Qualified in 2011, 15 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in North Dakota and Ohio.

Years since qualifying
15
Licensed in
ND, OH
In the registry since
2011
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

100 Medical Center Dr
Springfield, OH 45504-2687
Phone: (937) 523-9885
Fax: (937) 523-9887
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 003357 (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 003357 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 003357 (OH)
Physician Assistant Taxonomy 363A00000X · Licence PAC1180 (ND)

Record details

NPI number1376826925
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2011
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address100 Medical Center Dr, Springfield, OH 45504-2687

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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