Active NPI
Paula Nichols, NP
- Family Nurse Practitioner
- Sault Sainte Marie, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704152516
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704152516 | Other | MI | STATE 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Current | 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
- 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.
-
- Family Medicine Physician
- Alma, MI
- NPI 1265596126
-
- Emergency Medicine Physician
- Alma, MI
- NPI 1568914422
-
- Internal Medicine Physician
- Mount Pleasant, MI
- NPI 1801813373
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
- Anesthesiology Physician
- Sault Sainte Marie, MI
- NPI 1457305674
-
- Anatomic Pathology & Clinical Pathology Physician
- Sault Sainte Marie, MI
- NPI 1518819739
-
- Family Medicine Physician
- Sault Sainte Marie, MI
- NPI 1699832279
-
- Family Medicine Physician
- Charlevoix, MI
- NPI 1730292392
-
- Psychiatric Hospital Unit
- Kincheloe, MI
- NPI 1629260203
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1295756948
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.