Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS GEORGE KEINATH OD
NPI 1124886460
Optometrist in Saint Joseph, MI

Q: What is Nicholas Keinath's NPI number?

The NPI number for Nicholas Keinath is 1124886460. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Q: What is Nicholas Keinath's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Keinath was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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 March 11, 2024PECOS EnrolledAccepts Medicare Assignment

2848 NILES RD, SAINT JOSEPH, MI 49085(269) 428-3300(269) 428-5005 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Sep 2, 2025 (2 updates tracked since 2025).

On this page

About Nicholas George Keinath Od NPPES

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

NICHOLAS GEORGE KEINATH OD (NPI 1124886460) is an individual optometrist in Saint Joseph, Michigan, licensed in Michigan (4901005868) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124886460

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameNICHOLAS GEORGE KEINATHCredential: OD

Location Address2848 NILES RDSaint Joseph, MI 49085-3352

Mailing Address2848 Niles RdSaint Joseph, MI 49085-3352 · (269) 428-3300 · Fax (269) 428-5005

Phone(269) 428-3300

Fax(269) 428-5005

Sole ProprietorNo

Medical School CMSFerris State College - College Of OptometryGraduated 2024

Enumeration DateMarch 11, 2024

Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration

NPPES CertifiedOctober 15, 2026

✔ NPI 1124886460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MI · 4901005868✔ Licensed in IN · 18004564

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2848 NILES RD, Saint Joseph, MI 49085

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13550 Park Pl W Ste 200Mishawaka, IN 46545-3573 · Phone (574) 222-1403 · Fax (574) 387-5464

Location 2120 Longmeadow Village DrNiles, MI 49120-7808 · Phone (269) 684-6400

Other Identifiers 1

Medicaid300116972IN

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas George Keinath Od 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 ID4082152533

PECOS Enrollment IDI20250721001326, I20250721002386

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Keinath reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Lakes Eye Care PC

Same address

Ophthalmology

2848 NILES RD
Saint Joseph, MI 49085

Reassigned Medicare billing, Indiana and Michigan enrollments
5 clinicians in this Medicare group

NPI 1922002708 (269) 428-3300

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, 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

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.

Other Providers at the Same Location NPPES 17

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

DR. BENJAMIN P NICHOLSON M.D., M.A.

Ophthalmology (Retina Specialist)

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

GREAT LAKES SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

2848 NILES RD, SUITE B
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3304

DR. JENNA ELISE STODDARD OD

Optometrist

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

DR. DANIEL JAMES VAN ELK OD

Optometrist

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

LAKESHORE ANESTHESIA STAFFING LLC

Nurse Anesthetist, Certified Registered

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 932-4388

DR. DAVID NEAL BROWN M.D.

Ophthalmology

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

DR. DUANE ALLEN TOLSMA O.D.

Optometrist

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

DR. STANLEY W PLETCHER M.D.

Ophthalmology

2848 NILES RD
SAINT JOSEPH, MI 49085

Berrien County (269) 428-3300

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 Keinath's NPI number?

The NPI number for Nicholas Keinath is 1124886460. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Nicholas Keinath located?

Nicholas Keinath practices at 2848 Niles Rd, Saint Joseph, MI 49085. The listed phone number is (269) 428-3300.

What is Nicholas Keinath's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nicholas Keinath enrolled in Medicare?

Yes. Nicholas Keinath 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 Nicholas Keinath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Keinath reassigns Medicare benefits to Great Lakes Eye Care PC (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 Nicholas Keinath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Keinath accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 9 other insurers list Nicholas Keinath 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 Keinath affiliated with any hospitals?

According to CMS data, Nicholas Keinath is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Nicholas Keinath was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.