Individual provider Active NPI

Nicole Deanna Wood, PA-C

  • Physician Assistant
  • Novi, MI
National Provider Identifier
1740580588
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005875 Issued in MI
Practice address
29409 Haggerty Rd Ste 100
Novi, MI 48377-5504
Phone
(248) 864-0857
Fax
(248) 254-3523
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005875 MI Primary

Addresses

Primary practice location

29409 Haggerty Rd Ste 100
Novi, MI 48377-5504

Mailing address

29409 Haggerty Rd Ste 100
Novi, MI 48377-5504
Phone (248) 864-0857

Other names 1

  • Nicole Deanna Cascone Former name

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
I20101207000603 MI Practitioner - Physician Assistant 6608063375 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers Eastern Michigan PCGroup PAC ID 9234480575, 63 clinicians

Practice addresses (Care Compare)

39475 Lewis Dr
Novi, MI 48377-2977

400 N Wayne Rd
Michigan Family Physicians
Westland, MI 48185-3628
Phone (734) 522-7000

620 N Pontiac TRL
Pontiac Trail Medical Center
Walled Lake, MI 48390-3448
Phone (248) 624-4511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601005875MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Semi Medical Group CurrentSince Aug 2, 2018 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Aug 2, 2018 Accepting new patients

Locations

33523 8 Mile Rd
Ste M2
Livonia, MI 48152
Phone (248) 824-2675

37595 7 Mile Rd
Ste 210
Livonia, MI 48152
Phone (734) 432-7282

46591 Romeo Plank Rd
Ste 133
Macomb, MI 48044
Phone (586) 226-6161

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

Interoperability endpoints

  • Direct secure messaging: nicole.wood.1@21803.direct.athenahealth.com

Organizations & group practices 5

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": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1740580588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29409 HAGGERTY RD STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483775504",
            "telephone_number": "248-864-0857",
            "fax_number": "248-254-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29409 HAGGERTY RD STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483775504",
            "telephone_number": "248-864-0857",
            "fax_number": "248-254-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "NICOLE",
        "middle_name": "DEANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CASCONE",
            "middle_name": "DEANNA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.