Individual provider Active NPI

Paula Nichols, NP

  • Family Nurse Practitioner
  • Sault Sainte Marie, MI
National Provider Identifier
1366474264
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704152516 Issued in MI
Practice address
560 Osborn Blvd
Sault Sainte Marie, MI 49783-1961
Phone
(906) 632-1800
Fax
(906) 632-2199
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704152516 MI Primary

Addresses

Primary practice location

560 Osborn Blvd
Sault Sainte Marie, MI 49783-1961

Mailing address

560 Osborn Blvd
Sault Sainte Marie, MI 49783-1961
Phone (906) 632-1800

Other identifiers 1

IdentifierTypeStateIssuer
4704152516OtherMISTATE LICENSE

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

500 Osborn Blvd
Sault S Marie, MI 49783-1822

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Feb 28, 2025 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Center Midland CurrentSince Feb 28, 2025 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Jan 20, 2020 Accepting new patients
Mymichigan Medical Center Sault Current Accepting new patients
Mymichigan Medical Center Alma CurrentSince Feb 28, 2025 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Jan 20, 2020 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Feb 28, 2025 Accepting new patients
Mymichigan Medical Center Sault Past Accepting new patients
Lakeshore Sleep Medicine PLC Past Accepting new patients

Locations

175 E Warwick Dr
Alma, MI 48801
Phone (989) 576-6190

315 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-9300

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

509 Osborn Blvd
Ste 160
Sault Sainte Marie, MI 49783
Phone (906) 253-0114

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

550 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 253-2665

Interoperability endpoints

  • Direct secure messaging: pnichols142390@mymichiganhealth.midirect.net

Organizations & group practices 10

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 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1366474264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 OSBORN BLVD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831961",
            "telephone_number": "906-632-1800",
            "fax_number": "906-632-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 OSBORN BLVD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831961",
            "telephone_number": "906-632-1800",
            "fax_number": "906-632-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "PAULA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704152516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4704152516",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.