Nicole Bair Kohnen, MD

Key facts

NPI

1992965651

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

4301109120 (MI)

Practice address

2350 Jackson Road
Suite 200
Ann Arbor, MI 48103

Phone

(734) 761-2581

NPI assigned

Jun 16, 2008

Sex

Female

Sole proprietor

Yes

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.

• Iha Olma Primary Non Risk LLC Family Medicine Physician · Livonia, MI · NPI 1073112819
  Medicare reassignment Care Compare group NPD FAMILY MEDICINE · MI
• Iha Health Services Corporation Obstetrics & Gynecology Physician · Canton, MI · NPI 1457408965
  Medicare reassignment NPD MI
• Iha Health Service Corporation Obstetrics & Gynecology Physician · Ypsilanti, MI · NPI 1831053701
  NPD
• Iha Health Services Corporation Family Medicine Physician · Ann Arbor, MI · NPI 1366599409
  NPD FAMILY MEDICINE
• Iha Olma Primary Non Risk LLC Family Medicine Physician · Livonia, MI · NPI 1467156927
  NPD FAMILY MEDICINE

Hospital & facility affiliations 2

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

• St Joseph Mercy Hospital General Acute Care Hospital · Ypsilanti, MI · NPI 1780658443
  Care Compare affiliation Hospital
• St Mary Mercy Hospital General Acute Care Hospital · Livonia, MI · NPI 1790706901
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

Wright State University Boonshoft School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iha Olma Primary Non Risk LLC (16 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joe Mercy Hospital System Livonia Hospital · Livonia, MI · CCN 230002
• Trinity Health Ann Arbor Hospital Hospital · Ann Arbor, MI · CCN 230156

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nkohnen758740@direct.trinity-health.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 18, 2017.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1992965651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 JACKSON RD",
            "address_2": "SUITE 230",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-761-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 JACKSON ROAD",
            "address_2": "SUITE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-761-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHNEN",
        "first_name": "NICOLE",
        "middle_name": "BAIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD 2011-0757",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301109120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

• Isabella Kogon
• Priya Kohli
• Diane Lynn Kohmescher, PHARMD
• Jody Kohn, LMSW
• Joseph Graydon Kohne, M.D.
• David Joseph Kohns, DO
• Sarah Kohnstamm, M.D.
• Christopher Koilor, MD
• Erika Kokkinos
• Ellarae Kokochak

All providers in Ann Arbor, MI · Family Medicine Physician in Michigan