Nicole Melissa Nolan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601008323 Issued in MI

Practice address

1414 W Fair Ave Ste 201
Marquette, MI 49855-5406

Phone

(906) 225-4500

NPI assigned

Aug 15, 2017

Last updated

Aug 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dickinson County Healthcare SystemGroup PAC ID 6800784943, 103 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054
• Bell Hospital Hospital, Ishpeming, MI, CCN 231321
• Dickinson County Memorial Hospital Hospital, Iron Mountain, MI, CCN 230055
• Marshfield Medical Center Hospital, Iron Mountain, MI, CCN 231342

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.nolan@marshfieldclinichealthsystem.cernerdirect.com
• Direct secure messaging: nicolenolan@marquettei.allscriptsdirect.net

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.

• Dickinson County Healthcare System

  dba Marshfield Medical Center - Dickinson Professional Services

  • Emergency Medical Services (Emergency Medicine) Physician
  • Iron Mountain, MI
  • NPI 1891751186

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• MCHS Hospitals Inc

  dba Marshfield Medical Center

  • Clinic/Center
  • Marshfield, WI
  • NPI 1093221434
  NPD
• Alzheimer's Disease and Related Disorders Association, Inc

  dba Alzheimer's Association- Greater Michigan Chapter

  • Voluntary or Charitable Agency
  • Southfield, MI
  • NPI 1801097522
  NPD (past)
• Dickinson County Healthcare System

  dba DCHS Freestanding Clinic Physician Group

  • Internal Medicine Physician
  • Marquette, MI
  • NPI 1710693346
  NPD (past)

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

• Acquisition Bell Hospital LLC

  dba UP Health System Bell

  • Critical Access Hospital
  • Ishpeming, MI
  • NPI 1699101345
  Care Compare affiliation
• Dickinson County Healthcare System

  dba Marshfield Medical Center - Dickinson

  • Critical Access Hospital
  • Iron Mountain, MI
  • NPI 1841188604
  Care Compare affiliation
• DLP Marquette General Hospital LLC

  dba UP Health System Marquette

  • General Acute Care Hospital
  • Marquette, MI
  • NPI 1568727048
  Care Compare affiliation

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1548786205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E LINCOLN ST",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498661712",
            "telephone_number": "906-362-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 201",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555406",
            "telephone_number": "906-225-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "NICOLE",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Michael Nidiffer, MD
• Jodi A Niemi, SLP
• Lisa Diane Niemisto, LMSW
• Virginia Noblet
• Rocco Leopold Nocera, BCBA
• Cori Ann Noordyk, LLMSW
• Alyssa Norback, PA-C
• Monica L Nordeen, LMSW
• Thomas Fredrick Noren, M.D.
• Juliet Noriega

• Physician Assistant in Marquette, MI
• Providers in Marquette, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.

Verify at the official NPI Registry.