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Samuel Nickell, MD
NPI 1306010400 · Psychiatry Physician · Albuquerque, NM
Samuel Nickell, MD is a Psychiatry Physician provider in Albuquerque, NM (NPI 1306010400).
Provider details
- NPI number
- 1306010400
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD 2012-0434 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4813 Haines Ave Ne
Albuquerque, NM 87110-5008
Phone: (505) 508-2075
Street-level locationGet directions
Mailing address
2400 Tucker Blvd Ne
Albuquerque, NM 87131-0001
Registry dates
- Enumerated
- 2008-04-18
- Last updated
- 2012-07-02
Frequently asked questions
- What is Samuel Nickell's NPI number?
- Samuel Nickell's National Provider Identifier (NPI) is 1306010400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Nickell's specialty?
- Samuel Nickell is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Samuel Nickell located?
- Samuel Nickell's practice location on file with NPPES is 4813 Haines Ave Ne, Albuquerque, NM 87110-5008.
- What is Samuel Nickell's phone number?
- The practice phone number listed in the NPPES registry for Samuel Nickell is (505) 508-2075.
- Is Samuel Nickell's NPI active?
- Yes — Samuel Nickell's NPI (1306010400) is active in the NPPES registry as of the last update on 2012-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.