Active NPI
Nicolette P Baumgartner, MD
- Pediatrics Physician
- Portage, MI
National Provider Identifier
1427095207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301063498
- Practice address
- 8001 Angling Rd
Portage, MI 49024-7422 - Phone
- (269) 226-2500
- NPI assigned
- Jun 1, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301063498 | MI | Primary |
Addresses
Primary practice location
8001 Angling Rd
Portage, MI 49024-7422
Mailing address
5943 Stadium Dr
Ste 3
Kalamazoo, MI 49009-3016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301063498 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promed Healthcare | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Borgess Women's Health
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1427095207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5943 STADIUM DR",
"address_2": "STE 3",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490093016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 ANGLING RD",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490247422",
"telephone_number": "269-226-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARTNER",
"first_name": "NICOLETTE",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301063498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
- Megan Bates, LLMSW
- Sandra L Bates, LMSW
- Lisa Pehler Batsell, LMSW
- Anna Elizabeth Battle, DMD
- Melanie Baumgart
- Beacon Kalamazoo Inc (Beacon Kalamazoo)
- Beacon Medical Group Michigan Inc (Beacon Medical Group Michigan)
- Beacon Medical Group Michigan Inc (Beacon Medical Group Michigan)
- Beacon Pointe
- Stefanie Beattie, MS, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.