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Active NPI 1376826925 Individual Practitioner Male Practitioner

William David Nickell , PA-C

Physician Assistant - Surgical • Springfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

William Nickell, PA-C is a certified Physician Assistant - Surgical practicing in Springfield, OH. With approximately 15 years of clinical experience since completing medical education in 2011, William Nickell delivers high-quality medical care to the local community at 100 MEDICAL CENTER DR.

William Nickell maintains professional affiliations with Kettering Independent Medical Group Inc, Sanford Medical Center Fargo and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, coronary artery bypass using artery graft, 1 graft, harvest of veins for coronary artery bypass procedure using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Medical Center Dr

Springfield, OH 455042687

Telephone 9375239885
Fax 9375239887
Associated Practice Facility / Clinic
🏢 Trillium Pathology, Inc. Facility NPI 1720056294

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Springfield, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +5.0 yrs vs City Avg
City Avg: 10.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Springfield, OH (403 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nickell (15 Years) 15 Yrs
Springfield Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
14 13 $128.00 $63.95
33533 Coronary artery bypass using artery graft, 1 graft
12 12 $723.60 $204.99
33508 Harvest of veins for coronary artery bypass procedure using an endoscope
12 12 $6.20 $1.81

Medical Specialties & State Licenses

CMS Verified: 2025-09-24
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License OH 003357

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License OH 003357

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OH 003357

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License ND PAC1180

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0085670 (OH)
Commercial Insurance / Payer ID Cigna/great-West Healthcare/sagamore
12286408

Hospital & Practice Group Affiliations

Sanford Medical Center Fargo

5225 23rd Ave S, Fargo, ND 581047927

Phone: 7014172575

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Sanford Medical Center Fargo

1220 Sheyenne St, West Fargo, ND 580782637

Phone: 7012344445

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958251

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958646

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Leanne Casserlie , PA-C

Physician Assistant

NPI 1083216477

Physician Assistant (Certified)

Megan Haas , PA

Physician Assistant

NPI 1992175798

Physician Assistant

Dr. Jacob Yannetta , DO

Surgery - Vascular Surgery

NPI 1992873046

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location September 24, 2025

Registered at 100 MEDICAL CENTER DR, SPRINGFIELD, OH 455042687 (Tel: 9375239885)

📍
Updated Business Mailing Address September 24, 2025

Registered at 100 MEDICAL CENTER DR, SPRINGFIELD, OH 455042687 (Tel: 9375239885)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2025

Physician Assistant (License #003357 in OH)

NPI Profile Active March 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2017

Registered at 3533 SOUTHERN BLVD STE 5650, KETTERING, OH 454291263 (Tel: 9372943611)

📍
Updated Business Mailing Address March 23, 2017

Registered at 3533 SOUTHERN BLVD, SUITE 5650, KETTERING, OH 454291264 (Tel: 9372943611)

👤
Provider Name / Credentials Updated March 23, 2017

Recorded as WILLIAM NICKELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2017

Physician Assistant (License #003357 in OH)

📍
Updated Business Mailing Address March 08, 2017

Registered at 3533 SOUTHERN BLVD, SUITE 5650, KETTERING, OH 454291264 (Tel: 9372943611)

NPI Profile Active September 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 20, 2011

Registered at 3533 SOUTHERN BLVD STE 5650, KETTERING, OH 454291263 (Tel: 9372943611)

📍
Updated Business Mailing Address September 20, 2011

Registered at 5624 E FOUNTAIN CIR, MASON, OH 450407310 (Tel: 9376059846)

👤
Provider Name / Credentials Updated September 20, 2011

Recorded as WILLIAM NICKELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2011

Physician Assistant (License #003357 in OH)

🟢
Initial NPI Registration & Enumeration September 20, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376826925
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2011
Last Update: September 24, 2025
Sole Proprietor: No

Mailing Address

100 Medical Center Dr

Springfield, OH 455042687

Phone: 9375239885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.