NICHOLAS S LAPENNA
NPI 1013196534
Physician Assistant in Kalamazoo, MI

Active since November 01, 2007PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
6220 W MAIN ST, KALAMAZOO, MI 49009(269) 276-4744(269) 353-5856 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2020, Mar 17, 2018, Oct 30, 2017 (3 updates tracked since 2017).

About Nicholas S Lapenna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS S LAPENNA (NPI 1013196534) is an individual physician assistant in Kalamazoo, Michigan, licensed in Michigan (5601005107) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1013196534
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS S LAPENNA
Location Address6220 W MAIN STKalamazoo, MI 49009-8925
Mailing Address5943 Stadium Dr, Suite 1Kalamazoo, MI 49009-3016 · (269) 552-2836
Fax(269) 353-5856
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 1, 2007
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
NPI 1013196534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601005107
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6220 W MAIN ST, Kalamazoo, MI 49009

Secondary Practice Location 1

Location 11521 Gull RdKalamazoo, MI 49048-1640 · Phone (269) 226-7000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicholas S Lapenna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678656618
PECOS Enrollment IDI20080213000592
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services104 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230085
Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County
Emergency services

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
6220 W MAIN ST
KALAMAZOO, MI 49009
Nurse Practitioner (Family)
6220 W MAIN ST
KALAMAZOO, MI 49009
Physician Assistant
6220 W MAIN ST
KALAMAZOO, MI 49009
Nurse Practitioner
6220 W MAIN ST
KALAMAZOO, MI 49009
Physician Assistant
6220 W MAIN ST
KALAMAZOO, MI 49009
Nurse Practitioner (Family)
6220 W MAIN ST
KALAMAZOO, MI 49009
Nurse Practitioner (Family)
6220 W MAIN ST
KALAMAZOO, MI 49009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Lapenna's NPI number?

The NPI number for Nicholas Lapenna is 1013196534. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is Nicholas Lapenna located?

Nicholas Lapenna practices at 6220 W Main St, Kalamazoo, MI 49009. The listed phone number is (269) 276-4744.

What is Nicholas Lapenna's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Lapenna enrolled in Medicare?

Yes. Nicholas Lapenna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Lapenna accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Nicholas Lapenna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Lapenna affiliated with any hospitals?

According to CMS data, Nicholas Lapenna is affiliated with Bronson Methodist Hospital, Bronson South Haven Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Lapenna was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.