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Robert Nickolisen, MD
NPI 1487692125 · Specialist · Parker, AZ
Robert Nickolisen, MD is a Specialist provider in Parker, AZ (NPI 1487692125).
Provider details
- NPI number
- 1487692125
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15301 (AZ)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
601 W Riverside Dr
Suites 3 and 4
Parker, AZ 85344-5119
Phone: (602) 377-5900
Approximate (ZIP-level) locationGet directions
Mailing address
2485 Stroke Dr
Lake Havasu City, AZ 86406-7622
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2010-10-27
Frequently asked questions
- What is Robert Nickolisen's NPI number?
- Robert Nickolisen's National Provider Identifier (NPI) is 1487692125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Nickolisen's specialty?
- Robert Nickolisen is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Robert Nickolisen located?
- Robert Nickolisen's practice location on file with NPPES is 601 W Riverside Dr, Parker, AZ 85344-5119.
- What is Robert Nickolisen's phone number?
- The practice phone number listed in the NPPES registry for Robert Nickolisen is (602) 377-5900.
- Is Robert Nickolisen's NPI active?
- Yes — Robert Nickolisen's NPI (1487692125) is active in the NPPES registry as of the last update on 2010-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.