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

NICOLE WONG DO
NPI 1134814429
Neuromusculoskeletal Medicine & OMM in Muskegon, MI

Q: What is Nicole Wong's NPI number?

The NPI number for Nicole Wong is 1134814429. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Q: What is Nicole Wong's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wong was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 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 April 11, 2023PECOS Enrolled

1150 E SHERMAN BLVD STE 2400, MUSKEGON, MI 49444(231) 672-4243 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nicole Wong Do NPPES

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

NICOLE WONG DO (NPI 1134814429) is an individual neuromusculoskeletal medicine & omm provider in Muskegon, Michigan, licensed in Michigan (5101029594) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134814429

Entity TypeIndividualFemale

Primary Taxonomy204D00000X

Provider Legal NameNICOLE WONGCredential: DO

Location Address1150 E SHERMAN BLVD STE 2400Muskegon, MI 49444-1886

Mailing Address2555 W River RdMuskegon, MI 49445-9701 · (651) 503-2610

Phone(231) 672-4243

Sole ProprietorNo

Enumeration DateApril 11, 2023

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1134814429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in MI · 5101029594

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

1150 E SHERMAN BLVD STE 2400, Muskegon, MI 49444

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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)

Nicole Wong Do 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 19

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

DR. HANS CHRISTIAN BRUNTMYER D.O.

Neuromusculoskeletal Medicine & OMM