NPI Lens

Nickolas Williams

NPI 1053840041ActiveIndividual· Psychiatry & Neurology, Psychiatry· Maple Grove, MN

Psychiatry & Neurology, Psychiatry with Park Nicollet Clinic, practicing in Maple Grove, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $72,261 for 1,638 claims, against $14,335 paid for services in 2024.

Overview

NPI1053840041
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 5, 2017
Last updated in NPPESSep 19, 2023
Certified by providerSep 19, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Psychiatry & Neurology, Psychiatry Primary2084P0800XDO-05601IA
Family Medicine207Q00000XR-10976IA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Psychiatry (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients47
Services billed236 across 10 procedure codes
Paid by Medicare$14,335

Part D prescriptions in 2024

Prescriptions (claims)1,638 · 2,911 30-day fills
Patients249
Total drug cost$72,261
Generic share98% of claims

Medicare sources and data years

Education and affiliations

Graduation year2017
Medicare specialtyPsychiatry
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other psychiatrists in Maple Grove

All psychiatrists in Minnesota