NICOLE ALEXIS PHILLIPS MD (6/12)
NPI 1063771087
Plastic Surgery in Saint Joseph, MI

Q: What is Nicole Phillips's NPI number?

The NPI number for Nicole Phillips is 1063771087. It was assigned to this individual provider in the NPPES registry on May 10, 2012.

Q: What is Nicole Phillips's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Phillips was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 10, 2012PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3901 STONEGATE PARK STE 300, SAINT JOSEPH, MI 49085(269) 556-6000 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole Alexis Phillips Md (6/12) NPPES

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

NICOLE ALEXIS PHILLIPS MD (6/12) (NPI 1063771087) is an individual plastic surgery provider in Saint Joseph, Michigan, licensed in Michigan (4301502412) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2012).

NPPES Registry Identity

NPI1063771087

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameNICOLE ALEXIS PHILLIPSCredential: MD (6/12)

Location Address3901 STONEGATE PARK STE 300Saint Joseph, MI 49085-9136

Mailing Address75 Francis StBoston, MA 02115-6110

Phone(269) 556-6000

Sole ProprietorNo

Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2012

Enumeration DateMay 10, 2012

Last NPPES UpdateSeptember 15, 2020

NPPES CertifiedSeptember 15, 2020

✔ NPI 1063771087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in MI · 4301502412

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3901 STONEGATE PARK STE 300, Saint Joseph, MI 49085

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nicole Alexis Phillips Md (6/12) 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 ID5991943144

PECOS Enrollment IDI20200824003075

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.

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 2

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

MELISSA JACOBS FNP-C

Nurse Practitioner

3901 STONEGATE PARK STE 300
SAINT JOSEPH, MI 49085

Berrien County (269) 556-6000

PROSPERITY MEDICAL, PLLC

Dermatology

3901 STONEGATE PARK STE 300
SAINT JOSEPH, MI 49085

Berrien County (269) 408-4265

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 Nicole Phillips's NPI number?

The NPI number for Nicole Phillips is 1063771087. It was assigned to this individual provider in the NPPES registry on May 10, 2012.

Where is Nicole Phillips located?

Nicole Phillips practices at 3901 Stonegate Park Ste 300, Saint Joseph, MI 49085. The listed phone number is (269) 556-6000.

What is Nicole Phillips's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Nicole Phillips enrolled in Medicare?

Yes. Nicole Phillips 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 Nicole Phillips accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Nicole Phillips 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 Nicole Phillips affiliated with any hospitals?

According to CMS data, Nicole Phillips is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Nicole Phillips was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.