Active NPI
Nicole Marie Tompkins, PA
- Physician Assistant
- Ludington, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007257
- Practice address
- 922 Lawndale St
Ludington, MI 49431-1928 - Phone
- (231) 845-7380
- NPI assigned
- Nov 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007257 | MI | Primary |
Addresses
Primary practice location
922 Lawndale St
Ludington, MI 49431-1928
Mailing address
100 Michigan St NE
Mc845
Grand Rapids, MI 49503-2560
Other names 1
- Nicole Marie Dehaan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4069 Lake Dr SE
Grand Rapids, MI 49546-8816
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.36 of 100
- Quality
- 83.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Newaygo County General Hospital Association | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Newaygo County General Hospital Association | Current | Accepting new patients | |
| Memorial Medical Center of West Michigan | Current | Accepting new patients | |
| Memorial Medical Center of West Michigan | Current | Accepting new patients |
Locations
212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212
230 W Oak St
Fremont, MI 49412
Phone (231) 924-1305
444 Michigan St NE
#288
Grand Rapids, MI 49503
Phone (616) 267-7469
100 Michigan St NE
#A721
Grand Rapids, MI 49503
Phone (616) 391-3139
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
230 S Maple St
Grant, MI 49327
Phone (231) 834-5995
2481 N 72nd Ave
Hart, MI 49420
Phone (231) 873-2163
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
7 Atkinson Dr
Ste 200
Ludington, MI 49431
Phone (231) 843-2664
922 Lawndale St
Ludington, MI 49431
Phone (231) 845-7380
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
Interoperability endpoints
- ntompkins89848@epic00.corewelldirect.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
-
- Hospitalist Physician
- Fremont, MI
- NPI 1750404927
-
- Family Medicine Physician
- Ludington, MI
- NPI 1144639360
-
- Critical Access Hospital
- Fremont, MI
- NPI 1063836963
-
- Occupational Medicine Clinic/Center
- Grand Rapids, MI
- NPI 1194141341
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
-
- Critical Access Hospital
- Fremont, MI
- NPI 1063836963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1003213786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"address_2": "MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 LAWNDALE ST",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494311928",
"telephone_number": "231-845-7380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMPKINS",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "DEHAAN",
"middle_name": "MARIE",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.