MIKE LYLE NICHOLSON B.S.
NPI 1184808701
Social Worker - Clinical in Bellingham, WA

Active since December 18, 2007PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
1616 CORNWALL AVE STE 205, BELLINGHAM, WA 98225(360) 676-6177 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2018, Jun 13, 2018 (2 updates tracked since 2018).

About Mike Lyle Nicholson B.s. NPPES

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

MIKE LYLE NICHOLSON B.S. (NPI 1184808701) is an individual clinical provider in Bellingham, Washington, licensed in Washington (LW60717124) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1184808701
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMIKE LYLE NICHOLSONCredential: B.S.
Location Address1616 CORNWALL AVE STE 205Bellingham, WA 98225
Mailing Address1616 Cornwall Ave Ste 205Bellingham, WA 98225-4642 · (360) 676-6177
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 18, 2007
Last NPPES UpdateAugust 8, 20182 updates tracked since enumeration
✔ NPI 1184808701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW60717124
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X · License LW60717124 (WA)
Also ListedSocial WorkerTaxonomy 104100000X · License LW60717124 (WA)
1616 CORNWALL AVE STE 205, Bellingham, WA 98225

Accepted 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

Mike Lyle Nicholson B.s. 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 ID9931466877
PECOS Enrollment IDI20171130001114
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 Mike Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
2901 SQUALICUM PKWY
Bellingham, WA 98225
  • Reassigned Medicare billing, Washington enrollment
  • 390 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
208 services19 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98225 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
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost56.14

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.

Dentist (General Practice)
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Dental Hygienist
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Counselor (Addiction (Substance Use Disorder))
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Counselor (Mental Health)
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Dentist
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Dental Hygienist
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Counselor
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225
Dental Hygienist
1616 CORNWALL AVE STE 205
BELLINGHAM, WA 98225

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 Mike Nicholson's NPI number?

The NPI number for Mike Nicholson is 1184808701. It was assigned to this individual provider in the NPPES registry on December 18, 2007.

Where is Mike Nicholson located?

Mike Nicholson practices at 1616 Cornwall Ave Ste 205, Bellingham, WA 98225. The listed phone number is (360) 676-6177.

What is Mike Nicholson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mike Nicholson enrolled in Medicare?

Yes. Mike Nicholson 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 Mike Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mike Nicholson reassigns Medicare benefits to Peacehealth (Bellingham, WA). 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 Mike Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mike Nicholson accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Mike Nicholson 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.

When was this NPI record last updated?

The NPPES record for Mike Nicholson was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.