Individual provider Active NPI

Cheryl Elaine Nickolaou, FNP

  • Family Nurse Practitioner
  • Burton, MI
National Provider Identifier
1821466277
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704217545 Issued in MI
Practice address
6175 Lapeer Rd
Burton, MI 48509-2417
Phone
(810) 743-1408
Fax
(810) 743-1561
NPI assigned
Sep 2, 2015
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704217545 MI Primary

Addresses

Primary practice location

6175 Lapeer Rd
Burton, MI 48509-2417

Mailing address

6175 Lapeer Rd
Burton, MI 48509-2417
Phone (810) 743-1408

Other practice location 1

5092 W Vienna Rd Ste G
Clio, MI 48420-2804
Phone (810) 686-2212

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
I20160802001749 MI Practitioner - Nurse Practitioner 5496048274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthways Michigan Group PLCGroup PAC ID 8426317728, 3 clinicians

Practice addresses (Care Compare)

6175 Lapeer Rd
Burton, MI 48509-2417
Phone (810) 743-1408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704217545MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Plan Medical Centers CurrentSince Jul 22, 2017 Accepting new patients
The Wellness Plan Medical Centers CurrentSince Jul 22, 2017 Accepting new patients
Healthways Michigan Group, PLC CurrentSince Nov 9, 2025 Accepting new patients
Osh-Mi Physicians Group PC Family Past Accepting new patients
Genesys Integrated Group Practice PC Nurse Practitioner PastSince Apr 27, 2025 Accepting new patients
Oakland Primary Health Services, Inc. PastSince May 21, 2016 Accepting new patients

Locations

6175 Lapeer Rd
Burton, MI 48509
Phone (810) 743-1408

5092 W Vienna Rd
Ste G
Clio, MI 48420
Phone (810) 686-2212

21040 Greenfield Rd
Oak Park, MI 48237
Phone (248) 967-1888

46156 Woodward Ave
Pontiac, MI 48342
Phone (248) 322-6747

46156 Woodward Ave
Ste B
Pontiac, MI 48342
Phone (248) 322-6747

Interoperability endpoints

  • Direct secure messaging: cherylnickolaou@pmi.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBDCD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1821466277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 LAPEER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485092417",
            "telephone_number": "810-743-1408",
            "fax_number": "810-743-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 LAPEER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485092417",
            "telephone_number": "810-743-1408",
            "fax_number": "810-743-1561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5092 W Vienna Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Clio",
            "state": "MI",
            "postal_code": "484202804",
            "country_code": "US",
            "telephone_number": "810-686-2212",
            "fax_number": "810-686-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKOLAOU",
        "first_name": "CHERYL",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704217545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.