Active NPI
Timothy Craig Nicaise Jr., NP
- Adult Health Nurse Practitioner
- Wyandotte, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704259948
- Practice address
- 2333 Biddle Ave
Wyandotte, MI 48192-4668 - Phone
- (734) 246-6000
- NPI assigned
- Aug 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704259948 | MI | Primary |
| Nurse Practitioner | 363L00000X | 4704259948 | MI |
Addresses
Primary practice location
2333 Biddle Ave
Wyandotte, MI 48192-4668
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806
Other practice location 1
302 Kensington Ave
Flint, MI 48503-2044
Phone (810) 762-8400
Other practice location 2
944 Baldwin Rd
Lapeer, MI 48446-3089
Phone (810) 762-8400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
302 Kensington Ave
Flint, MI 48503-2044
Phone (810) 762-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704259948 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer & Hematology Centers of Western Mi, P.C. | Current | Accepting new patients | |
| Cancer & Hematology Centers of Western Mi, P.C. | Past | Accepting new patients |
Locations
302 Kensington Ave
Flint, MI 48503
Phone (810) 762-8058
6255 Inkster Rd
Ste 307
Garden City, MI 48135
Phone (248) 556-5582
5800 Foremost Dr SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 954-5554
145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800
2959 Lucerne Dr SE
Ste 200
Grand Rapids, MI 49546
944 Baldwin Rd
Lapeer, MI 48446
Phone (248) 650-9100
18223 E 10 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 778-5880
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.
-
- Specialist
- Grand Rapids, MI
- NPI 1528018389
-
- Nurse Practitioner
- Detroit, MI
- NPI 1104900455
-
- Nurse Practitioner
- Chesterfield, MI
- NPI 1952440521
-
- Cardiovascular Disease Physician
- Wyandotte, MI
- NPI 1700145851
-
- Clinical Medical Laboratory
- Grand Rapids, MI
- NPI 1386864080
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Garden City, MI
- NPI 1043625940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1831566637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "313-874-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 BIDDLE AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924668",
"telephone_number": "734-246-6000"
}
],
"practiceLocations": [
{
"address_1": "302 Kensington Ave",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485032044",
"country_code": "US",
"telephone_number": "810-762-8400",
"fax_number": "810-762-8118",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "944 Baldwin Rd",
"address_purpose": "LOCATION",
"city": "Lapeer",
"state": "MI",
"postal_code": "484463089",
"country_code": "US",
"telephone_number": "810-762-8400",
"fax_number": "810-762-8118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICAISE",
"first_name": "TIMOTHY",
"middle_name": "CRAIG",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-27",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704259948",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704259948",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.