https://nixos.wiki/wiki/Linux_kernel
You can specify custom parts of the config that enables that module and/or extra module packages.
If you specify a custom part of the config then ye sure you'll be compiling the kernel on each kernel update but you don't need to manually configure it
It's incredibly complicated in the same way that ubuntu is incredibly complicated to a lifelong windows user.
It just requires a bit of a paradigm shift which includes a learning curve but IMO once you're past that point it's intuitive and even easier than other distros.