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NICOLE MARIE NOTTER NP
NPI 1205793387
Nurse Practitioner - Adult Health in Grand Blanc, MI

Active since January 08, 2026PECOS Enrolled
600 HEALTH PARK BLVD STE E, GRAND BLANC, MI 48439(810) 603-8400 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Marie Notter Np NPPES

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

NICOLE MARIE NOTTER NP (NPI 1205793387) is an individual adult health provider in Grand Blanc, Michigan, licensed in Michigan (4704348272) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1205793387
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNICOLE MARIE NOTTERCredential: NP
Location Address600 HEALTH PARK BLVD STE EGrand Blanc, MI 48439-2558
Mailing Address5179 Winshall DrSwartz Creek, MI 48473-1222
Phone(810) 603-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 8, 2026
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1205793387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704348272
600 HEALTH PARK BLVD STE E, Grand Blanc, MI 48439
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Genesys PkwyGrand Blanc, MI 48439-8065 · Phone (810) 606-5000
Location 21515 W Atherton RdFlint, MI 48507-5300 · Phone (810) 232-5189

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Marie Notter Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385108232
PECOS Enrollment IDI20260710003606
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 Nicole Notter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesys Practice Partners Inc
0.1 mi
Physician Assistant
1 GENESYS PKWY
Grand Blanc, MI 48439
  • Reassigned Medicare billing, Michigan enrollment
  • 59 clinicians in this Medicare group
NPI 1114060837 (810) 606-5893

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48439 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Notter's NPI number?

The NPI number for Nicole Notter is 1205793387. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Nicole Notter located?

Nicole Notter practices at 600 Health Park Blvd Ste E, Grand Blanc, MI 48439. The listed phone number is (810) 603-8400.

What is Nicole Notter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Nicole Notter enrolled in Medicare?

Yes. Nicole Notter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Notter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Notter reassigns Medicare benefits to Genesys Practice Partners Inc (Grand Blanc, 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 Notter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Notter accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nicole Notter 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 Nicole Notter was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.