NICOLE ALEXIS PHILLIPS MD (6/12)
NPI 1063771087
Plastic Surgery in Saint Joseph, MI
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 724 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIPhysician 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.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Nicole Phillips's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Phillips reassigns Medicare benefits to Lakeland Medical Practices (Saint Joseph, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Nicole Alexis Phillips, MD (6/12) · NPI 1063771087
Plastic Surgery physician in Saint Joseph, Michigan. Individual provider, active in the CMS NPPES registry since May 10, 2012.
## Identity
- **NPI:** 1063771087 (Entity type: Individual)
- **Enumerated:** May 10, 2012
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 4301502412 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3901 STONEGATE PARK STE 300, Saint Joseph, MI 49085-9136
- **Phone:** (269) 556-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lakeland Medical Practices (NPI 1538397120, Saint Joseph, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Chicago, Pritzker School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** September 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1063771087) · Data from the CMS NPPES public registry.