Individual provider Active NPI

Nicholas Maximillian Kielhorn, M.D.

  • Family Medicine Physician
  • Jackson, MI
National Provider Identifier
1821240128
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301090658 Issued in MI
Practice address
801 Rosehill Rd
Jackson, MI 49202-1762
Phone
(517) 212-2008
NPI assigned
Oct 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301090658 MI Primary

Addresses

Primary practice location

801 Rosehill Rd
Jackson, MI 49202-1762

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101112000893 MI Practitioner - Family Practice 0244425403 Reassigns benefits to 6 organizations
I20220604000362 OH Practitioner - Family Practice 0244425403 Reassigns benefits to 1 organization
I20230109002034 IN Practitioner - Family Practice 0244425403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Careline Poh100 LLCGroup PAC ID 7012395965, 7 clinicians
Northview Medical House Calls PLCGroup PAC ID 9537345400, 36 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Careline Pin100 LLCGroup PAC ID 6507236585, 4 clinicians
Northview Health Specialists, PLLCGroup PAC ID 9638422835, 24 clinicians

Practice addresses (Care Compare)

3550 Briarfield Blvd
Suite 300
Maumee, OH 43537-8916
Phone (419) 452-2140

4760 Fashion Square Blvd
Suite L 1
Saginaw, MI 48604-2620
Phone (989) 282-4003

5025 Ann Arbor Rd
Jackson, MI 49201-8801
Phone (517) 879-1505

600 E Carmel Dr
Carmel, IN 46032-2803

770 Kenmoor Ave SE
Suite 100
Grand Rapids, MI 49546-8602
Phone (616) 272-3533

Hospital & facility affiliations

  • Americans Home Health Care Home health agency, Saginaw, MI, CCN 237549
  • Interim Healthcare of West Michigan Home health agency, Grand Rapids, MI, CCN 239282
  • Optimal Care Home Health Home health agency, Saginaw, MI, CCN 239364
  • Americans Hospice Care, Inc Hospice, Saginaw, MI, CCN 231608
  • Gentiva I Hospice, Grand Rapids, MI, CCN 231627
  • Interim Healthcare of West Michigan Hospice, Grand Rapids, MI, CCN 231661
  • Corsocare Hospice Hospice, Milford, MI, CCN 231649
  • Corewell Health Hospice & Palliative Care - West Michigan Hospice, Grand Rapids, MI, CCN 231544
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Vista Grande Villa Nursing home, Jackson, MI, CCN 235254
  • Optalis Health and Rehabilitation of Grand Rapids Nursing home, Grand Rapids, MI, CCN 235458
  • Mission Point Health Campus of Jackson Nursing home, Jackson, MI, CCN 235538
  • The Oaks at Jamestown Nursing home, Hudsonville, MI, CCN 235735
  • Resthaven Care Center Nursing home, Holland, MI, CCN 235378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Careline Poh100 LLC CurrentSince Feb 3, 2022 Accepting new patients
Provider Partners Care Management LP Family Medicine CurrentSince Jan 29, 2026 Accepting new patients
Careline Hmi300 LLC Family Medicine CurrentSince Aug 8, 2021 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Services Corporation Family Medicine CurrentSince Aug 5, 2019 Accepting new patients
Northview Medical House Calls PLC Family Medicine CurrentSince Dec 15, 2020 Accepting new patients
Iha Health Service Corporation CurrentSince Aug 5, 2019 Accepting new patients
Careline Pin100 LLC CurrentSince Jan 1, 2023 Accepting new patients
Careconnectmd Michigan PC CurrentSince Jul 31, 2023 Accepting new patients
Northview Health Specialists, PLLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Careline Palliative Care LLC CurrentSince Dec 13, 2018 Accepting new patients
Vista Grande Villa Past Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Careline Hin100 LLC Family Medicine PastSince Oct 17, 2021 Accepting new patients
Mission Point Health Campus of Jackson LLC Past Accepting new patients
Harpal S Jande MD PC PastSince Jun 15, 2021 Accepting new patients
Douglas Mi Opco LLC Past Accepting new patients
Resthaven Past Accepting new patients
Optalis Grand Rapids Opco LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

600 E Carmel Dr
Ste 100
Carmel, IN 46032
Phone (317) 762-8194

600 E Carmel Dr
Ste 144
Carmel, IN 46032
Phone (317) 349-7015

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

212 S Main St
Ste A
Brooklyn, MI 49230
Phone (517) 592-8033

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

770 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 272-3533

103 S Jackson St
Ste 200
Jackson, MI 49201
Phone (517) 212-2008

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

4760 Fashion Square Blvd
Ste L1
Saginaw, MI 48604
Phone (989) 282-4003

3550 Briarfield Blvd
Ste 300
Maumee, OH 43537
Phone (419) 452-2102

Interoperability endpoints

  • Direct secure messaging: nkielhorn462837@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Oaks at JamestownHudsonville, MI, CCN 235735 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 6, 2024
Aug 6, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1821240128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELHORN",
        "first_name": "NICHOLAS",
        "middle_name": "MAXIMILLIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301090658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.