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NICHOLAS WILLIAM NICOLETTI
NPI 1053042648
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Active since June 23, 2022PECOS Enrolled
15 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 337-0740 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas William Nicoletti NPPES

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

NICHOLAS WILLIAM NICOLETTI (NPI 1053042648) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053042648
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS WILLIAM NICOLETTI
Location Address15 MICHIGAN ST NEGrand Rapids, MI 49503-2508
Mailing Address15 Michigan St NeGrand Rapids, MI 49503-2508
Phone(616) 337-0740
Sole ProprietorYes
Enumeration DateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1053042648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15 MICHIGAN ST NE, Grand Rapids, MI 49503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas William Nicoletti is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

JEREMIAH STEVEN HUTSON
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 233-1678
KESHAV LALCHANDANI
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 233-1678
ALISSA MARIE EBENHOEH
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 233-1678
MERIDITH ANNESS
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (248) 892-2414
MADISON NIGHTINGALE
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 233-1678
JOSEPH BRISSON
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (248) 881-4366
JOHN DAVID PESTENARIU
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (313) 757-2496
KATHERINE A MUNSON
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 233-1678

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 Nicoletti's NPI number?

The NPI number for Nicholas Nicoletti is 1053042648. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Nicholas Nicoletti located?

Nicholas Nicoletti practices at 15 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 337-0740.

What is Nicholas Nicoletti's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Nicoletti enrolled in Medicare?

Yes. Nicholas Nicoletti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Nicoletti was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.