NPIMap

Individual provider Active NPI

Nicole Ellen Dolan, D.O.

  • Obstetrics & Gynecology Physician
  • Washington Township, MI
National Provider Identifier
1346464575
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101016492 Issued in MI
Practice address
12150 30 Mile Rd
Ste 201
Washington Township, MI 48095-2035
Phone
(586) 336-2390
Fax
(586) 336-2381
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101016492 MI Primary

Addresses

Primary practice location

12150 30 Mile Rd
Ste 201
Washington Township, MI 48095-2035

Mailing address

16360 26 Mile Rd
Macomb, MI 48042-1057
Phone (586) 336-2390

Other practice location 1

44250 Dequindre Rd
Sterling Heights, MI 48314-1002
Phone (248) 964-0400

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ndolan3372600@epic00.corewelldirect.org
Direct Messaging Address ndolan18341@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090714000745 MI Practitioner - Obstetrics/Gynecology 4880746395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Macomb Hospital CorporationGroup PAC ID 7911808381, 349 clinicians
Oakland Macomb Obstetrics and Gynecology PCGroup PAC ID 4183673015, 23 clinicians

Practice addresses (Care Compare)

16360 26 Mile Rd
Macomb, MI 48042-1057
Phone (586) 336-2390

1701 S Blvd E
Rochester Hills, MI 48307-6116
Phone (248) 997-5805

1701 S Blvd E
Suite 350
Rochester Hills, MI 48307-6117
Phone (248) 997-5805

1701 S Blvd E
Suite LL50
Rochester Hills, MI 48307-6122
Phone (248) 218-4084

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101016492MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital Obstetrics & Gynecology CurrentSince Feb 1, 2026 Accepting new patients
Oakland Macomb Obstetrics & Gynecology, PC Obstetrics & Gynecology CurrentSince Sep 15, 2025 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 10, 2016 Accepting new patients
Henry Ford Macomb Hospital Corporation Obstetrics & Gynecology CurrentSince Jan 10, 2016 Accepting new patients
William Beaumont Hospital CurrentSince Feb 1, 2026 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

16151 19 Mile Rd
Ste 300
Clinton Twp, MI 48038
Phone (586) 228-1760

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

16360 26 Mile Rd
Macomb, MI 48042
Phone (586) 336-2390

1701 South Blvd E
Ste 200
Rochester Hills, MI 48307
Phone (248) 997-5805

26001 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 779-7000

51221 Schoenherr Rd
Ste 201
Shelby Township, MI 48315
Phone (586) 254-3545

44250 Dequindre Rd
Sterling Hts, MI 48314
Phone (248) 964-0400

12150 30 Mile Rd
Ste 201
Washington Twp, MI 48095
Phone (586) 336-2380

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

Interoperability endpoints

  • Direct secure messaging: ndolan3372600@epic00.corewelldirect.org

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1346464575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16360 26 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480421057",
            "telephone_number": "586-336-2390",
            "fax_number": "586-372-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 30 MILE RD",
            "address_2": "STE 201",
            "city": "WASHINGTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480952035",
            "telephone_number": "586-336-2390",
            "fax_number": "586-336-2381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44250 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141002",
            "country_code": "US",
            "telephone_number": "248-964-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "NICOLE",
        "middle_name": "ELLEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101016492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndolan3372600@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "44250 Dequindre Rd",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483141002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndolan18341@direct.hfhs.org",
            "affiliation": "N",
            "endpointDescription": "16360 26 Mile Road, Macomb MI 48042, US",
            "address_1": "16360 26 Mile Rd",
            "city": "Macomb",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480421057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington Township, MI

Sources for this page

Verify at the official NPI Registry.