Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kaylyn Marie Nickelson, OD

Optometrist in Springfield, IL · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467930735

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Registry record

Entity type Individual (Type 1)

Name Kaylyn Marie Nickelson

Credential OD

Sex Female

Practice address 2020 W Iles Ave, Springfield, IL, 62704

Phone (217) 698-3030

Fax (217) 718-5687

Enumeration date Jul 30, 2018

Last updated in NPPES Mar 18, 2025

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 046011215 (IL) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
046011215	Medicaid	IL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kaylyn Nickelson practice?

The practice location on file with NPPES is in Springfield, IL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kaylyn Nickelson?

The National Provider Identifier (NPI) for Kaylyn Nickelson is 1467930735, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-18.