Nichole Lynn Worthing, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005798 Issued in MI

Practice address

40800 Woodward Ave
Bloomfield Hills, MI 48304-5060

Phone

(877) 433-7767

Fax

(877) 433-6907

NPI assigned

Oct 25, 2014

Last updated

Aug 18, 2015By 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 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Wayne State University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neal M Alpiner MD PLLCGroup PAC ID 5496765489, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Neal M Alpiner MD PLLC

  • Physical Medicine & Rehabilitation Physician
  • Rochester Hills, MI
  • NPI 1194886887
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1164827747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32754 SHUE RD",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480622331",
            "telephone_number": "248-275-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40800 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045060",
            "telephone_number": "877-433-7767",
            "fax_number": "877-433-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHING",
        "first_name": "NICHOLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-25",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #11250)
• Woodward Hills Health and Rehabilitation Center, LLC (Woodward Hills Health and Rehabilitation Center)
• Woodward Urgent Care PLLC
• Erin Woolford, DPT
• Evan M Woolford, DPT
• Jaclyn Wrase, MS, RDN
• Tami Ann Wright, PH.D., LPC, SCL
• Susanna Wu Shuxuan Wu
• Edwin Wudyka
• Barbara Lee Yakes, D.O.

• Physician Assistant in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.

Verify at the official NPI Registry.