NICK COOLIDGE PA-C
NPI 1194105221
Physician Assistant - Medical in Lansing, MI

Q: What is Nick Coolidge's NPI number?

The NPI number for Nick Coolidge is 1194105221. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Q: What is Nick Coolidge's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nick Coolidge was last updated on September 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 03, 2015PECOS EnrolledAccepts Medicare Assignment

86.67/100

CMS Quality Rating

1140 E MICHIGAN AVE STE 200, LANSING, MI 48912(517) 364-9400 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2021, Dec 8, 2021, Feb 7, 2020 and 2 more (5 updates tracked since 2019).

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About Nick Coolidge Pa-c NPPES

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

NICK COOLIDGE PA-C (NPI 1194105221) is an individual medical provider in Lansing, Michigan, licensed in Michigan (5315244432) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and maintains a secondary practice location in High Point.

NPPES Registry Identity

NPI1194105221

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameNICK COOLIDGECredential: PA-C

Location Address1140 E MICHIGAN AVE STE 200Lansing, MI 48912-1806

Mailing Address6039 Willomere CirWinston Salem, NC 27107-3731 · (517) 231-0439

Phone(517) 364-9400

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 3, 2015

Last NPPES UpdateSeptember 21, 20235 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2023

✔ NPI 1194105221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5315244432

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 0010-09447 (NC)

1140 E MICHIGAN AVE STE 200, Lansing, MI 48912

Open in Google Maps ↗

Secondary Practice Location 1

Location 1819 N Main St Ste 112High Point, NC 27262-3996 · Phone (336) 289-2299

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Nick Coolidge Pa-c 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 ID5193057867

PECOS Enrollment IDI20231013003061

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.

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230230

Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County

Emergency services Birthing friendly

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.

86.67/100

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

Scored as part of a group practice

Quality

69.31

Promoting Interoperability

Improvement Activities

Cost

73.78

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier13 claims780 services$4.36 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier15 claims900 services$0.80 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

1 supplier17 claims17 services$26.00 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

DR. JENNIFER VANSICKLER PHARMD

Pharmacist