Michael Nicholson, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301068186 Issued in MI

Practice address

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Phone

(586) 263-2978

NPI assigned

Jun 10, 2006

Last updated

Jul 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI, ME2 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 2

Specialty

Obstetrics/Gynecology

Education

Wayne State University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians

Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Henry Ford Macomb Hospital CorporationGroup PAC ID 7911808381, 349 clinicians

W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Obhg Michigan, PCGroup PAC ID 3971739244, 4 clinicians

Mymichigan Medical Center West BranchGroup PAC ID 7214251081, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 28)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
• Direct secure messaging: michael.nicholson.1@8233.direct.athenahealth.com
• Direct secure messaging: mnicholson37086@direct.trinity-health.org
• Direct secure messaging: mnicholson889801@direct.hfhs.org

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.

• Beacon Medical Group Michigan Inc

  dba Beacon Medical Group Michigan

  • Family Medicine Physician
  • Portage, MI
  • NPI 1497709869
  Medicare reassignment Care Compare group NPD
• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Macomb Family Medicine

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1134265986
  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center Alpena

  • Emergency Medicine Physician
  • Alpena, MI
  • NPI 1508332792
  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center West Branch

  • General Acute Care Hospital
  • West Branch, MI
  • NPI 1538566765
  Medicare reassignment Care Compare group NPD
• Obhg Michigan, PC

  • Obstetrics & Gynecology Physician
  • Jackson, MI
  • NPI 1790120863
  Medicare reassignment Care Compare group NPD
• Wa Foote Memorial Hospital, Inc

  dba Henry Ford Allegiance Health

  • Internal Medicine Physician
  • Jackson, MI
  • NPI 1831123728
  Medicare reassignment Care Compare group NPD
• Acquisition Bell Hospital LLC

  dba UP Health System Bell

  • Critical Access Hospital
  • Ishpeming, MI
  • NPI 1699101345
  Medicare reassignment NPD
• Bell Physician Practices Inc

  • Family Medicine Physician
  • Ishpeming, MI
  • NPI 1578992491

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Henry Ford Health Rochester Hospital

  • Family Medicine Physician
  • Rochester, MI
  • NPI 1437272523
  Medicare reassignment NPD
• Memorial Hospital

  dba Memorial Medical Associates

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532
  Medicare reassignment NPD
• Mymichigan Medical Center Alma

  • Emergency Medicine Physician
  • Alma, MI
  • NPI 1568914422
  Medicare reassignment NPD
• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490
  Medicare reassignment NPD

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

• W.a. Foote Memorial Hospital

  dba Henry Ford Allegiance Health

  • General Acute Care Hospital
  • Jackson, MI
  • NPI 1053403402
  Care Compare affiliation

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1942241633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6341 DEER CROSS DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482830",
            "telephone_number": "248-620-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383504",
            "telephone_number": "586-263-2978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1428 S Lapeer Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483601437",
            "country_code": "US",
            "telephone_number": "248-693-0543",
            "fax_number": "248-693-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301068186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4705424",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Newman, LLMSW
• Chanel Newton
• Malcolm Newton
• Alexis Nichols, B.A
• Audra J Nichols, RN
• Chelsea Nick, LMSW
• Leo P Niffeler, LMSW
• Night Hawk Sleep Systems, Inc.
• Night Hawk Sleep Systems, Inc.
• Manouchehr Nikpour, M.D.

• Obstetrics & Gynecology Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.

Verify at the official NPI Registry.