IndividualActive
Kim Nickelson, MD
NPI 1861473589 · Internal Medicine Physician · Plantation, FL
Provider details
- NPI number
- 1861473589
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA50822 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 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
2 documented practice locations
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
301 Nw 84th Ave Ste 101
Plantation, FL 33324-1807
Phone: (954) 581-1900
Street-level locationGet directions
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Additional practice locations (1)
- 499 Nw 70th AveSuite 200Plantation, FL 33317-7500Phone: (954) 581-1900Fax: (954) 321-2675
Registry dates
- Enumerated
- 2005-11-09
- Last updated
- 2022-09-23
- Certified
- 2022-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.