Individual provider Active NPI

Nicole Suzanne Degraff, PA-C

  • Physician Assistant
  • Battle Creek, MI
National Provider Identifier
1891815411
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003945 Issued in MI
Practice address
2845 Capital Ave SW Ste 302
Battle Creek, MI 49015-4187
Phone
(269) 979-6333
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 5601003945 MI Primary

Addresses

Primary practice location

2845 Capital Ave SW Ste 302
Battle Creek, MI 49015-4187

Mailing address

601 John Street
Box 42
Kalamazoo, MI 49007

Other practice location 1

624 Mendon Rd
Union City, MI 49094-8741
Phone (517) 741-7989

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

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
I20100513000446 MI Practitioner - Physician Assistant 3779551148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians

Practice addresses (Care Compare)

2845 Capital Ave SW
302 Bronson Internal Medicine Battle Creek
Battle Creek, MI 49015-4187
Phone (269) 979-6333

300 N Ave
Battle Creek, MI 49017-3307

300 N Ave Outpatient Ctr 2ND FL
Bronson Neuroscience Center
Battle Creek, MI 49017-3307
Phone (269) 245-5862

Hospital & facility affiliations

  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601003945MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County CurrentSince Feb 13, 2010 Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Bronson Battle Creek Hospital Physician Assistant CurrentSince Feb 1, 2025 Accepting new patients
Community Health Center of Branch County CurrentSince Feb 13, 2010 Accepting new patients
Dowagiac Medical Center Past Accepting new patients
J.N. Patel, M.D. P.C. Past Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

2845 Capital Ave SW
Ste 302
Battle Creek, MI 49015
Phone (269) 324-0799

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806

624 Mendon Rd
Union City, MI 49094
Phone (517) 279-5378

Interoperability endpoints

  • Direct secure messaging: ndegrafflampman152512@direct.promedica.org
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1891815411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN STREET",
            "address_2": "BOX 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 CAPITAL AVE SW STE 302",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154187",
            "telephone_number": "269-979-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Mendon Rd",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "MI",
            "postal_code": "490948741",
            "country_code": "US",
            "telephone_number": "517-741-7989",
            "fax_number": "517-741-7188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGRAFF",
        "first_name": "NICOLE",
        "middle_name": "SUZANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.