Individual provider Active NPI

Nicole Marie Conway, NP-C

  • Primary Care Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1467098202
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704249957 Issued in MI
Practice address
830 W Lake Lansing Rd Ste 150
East Lansing, MI 48823-6372
Phone
(517) 897-9200
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704249957 MI Primary

Addresses

Primary practice location

830 W Lake Lansing Rd Ste 150
East Lansing, MI 48823-6372

Mailing address

830 W Lake Lansing Rd Ste 150
East Lansing, MI 48823-6372
Phone (517) 897-9200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200604003174 MI Practitioner - Nurse Practitioner 8426479122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Associates PLLCGroup PAC ID 0840185203, 18 clinicians

Practice addresses (Care Compare)

1600 S Beacon Blvd
Suite 100
Grand Haven, MI 49417-2654
Phone (614) 954-0600

3230 Eagle Park Dr NE
Suite 101
Grand Rapids, MI 49525-7047
Phone (616) 954-0600

363 W Big Beaver Rd
Troy, MI 48084-5346
Phone (616) 954-0600

39475 Lewis Dr
Suite 140
Novi, MI 48377-2977
Phone (616) 954-0600

418 Munson Ave
Traverse City, MI 49686-3042
Phone (614) 954-0600

Merit-based Incentive Payment System (MIPS)

Final score
91.21 of 100Reported as group
Quality
88.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704249957MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Associates PLLC CurrentSince Apr 1, 2022 Accepting new patients
Promed Healthcare CurrentSince Jun 14, 2020 Accepting new patients
Ascension Medical Group Promed CurrentSince Jun 14, 2020 Accepting new patients
Little People Urgent Care PLC PastSince Mar 1, 2016 Accepting new patients

Locations

250 W Eisenhower Pkwy
Ste 130
Ann Arbor, MI 48103

44720 Hayes Rd
Ste 200
Clinton Township, MI 48038

830 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 333-3777

830 W Lake Lansing Rd
Ste 150
East Lansing, MI 48823
Phone (517) 897-9200

9880 E Michigan Ave
Ste 100
Galesburg, MI 49053
Phone (269) 665-7092

9880 E Michigan Ave
#100
Galesburg, MI 49053

1600 S Beacon Blvd
Ste 100
Grand Haven, MI 49417
Phone (614) 954-0600

1600 S Beacon Blvd
Grand Haven, MI 49417
Phone (614) 954-0600

3230 Eagle Park Dr NE
Ste 101
Grand Rapids, MI 49525

4343 Chicago Dr SW
Grandville, MI 49418

1717 Shaffer St
Ste 2
Kalamazoo, MI 49048

39475 Lewis Dr
Ste 140
Novi, MI 48377
Phone (248) 489-0766

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

1399 W Centre Ave
Portage, MI 49024
Phone (269) 615-1657

363 W Big Beaver Rd
Ste 126
Troy, MI 48084
Phone (248) 220-5230

363 W Big Beaver Rd
Ste 125
Troy, MI 48084

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1467098202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W LAKE LANSING RD STE 150",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236372",
            "telephone_number": "517-897-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W LAKE LANSING RD STE 150",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236372",
            "telephone_number": "517-897-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704249957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.