Nicole Marie Perrier, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601006292 Issued in MI

Practice address

1401 Presque Isle Avenue
Health Center
Marquette, MI 49855

Phone

(906) 227-2355

Fax

(906) 227-2332

NPI assigned

Jun 19, 2012

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DLP Marquette Physician Practices Inc

  dba Marquette General Behavioral Health

  • Counselor
  • Marquette, MI
  • NPI 1730437245
  NPD (past)
• Northern Michigan University

  • Health Service Clinic/Center
  • Marquette, MI
  • NPI 1396894200
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1063775682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PRESQUE ISLE AVENUE",
            "address_2": "HEALTH CENTER",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-227-2355",
            "fax_number": "906-227-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PRESQUE ISLE AVENUE",
            "address_2": "HEALTH CENTER",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-227-2355",
            "fax_number": "906-227-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIER",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006292",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Pharmacy Inc (Peninsula Pharmacy)
• Peninsula Pharmacy Inc. (Peninsula Pharmacy)
• Peninsula Pharmacy Plus LLC (Peninsula Pharmacy Plus)
• Brad Pennala, CPT/CHW
• Elizabeth Lee Peppin, PA-C
• Alexis Danielle Perttu, FNP
• David Arvo Pesola, MD
• Jessica Pesola, LMT
• Morgan Peters, PA
• Andrew John Peterson, D.D.S.

• Medical Physician Assistant in Marquette, MI
• Providers in Marquette, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.