JOHN DAVID NICELY MD
NPI 1215987367
Emergency Medicine - Emergency Medical Services in Holland, MI

Q: What is John Nicely's NPI number?

The NPI number for John Nicely is 1215987367. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is John Nicely's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Q: When was this NPI record last updated?

The NPPES record for John Nicely was last updated on May 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 11, 2006PECOS Enrolled

602 MICHIGAN AVE, HOLLAND, MI 49423(616) 394-3522 Get Directions Write a Review

NPPES record last updated: May 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John David Nicely Md NPPES

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

JOHN DAVID NICELY MD (NPI 1215987367) is an individual emergency medical services provider in Holland, Michigan, licensed in Michigan (4301078807) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215987367

Entity TypeIndividualMale

Primary Taxonomy207PE0004X

Provider Legal NameJOHN DAVID NICELYCredential: MD

Location Address602 MICHIGAN AVEHolland, MI 49423

Mailing AddressPo Box 30516, Dept 4006Lansing, MI 48909-8016 · (616) 975-1845 · Fax (616) 975-1870

Phone(616) 394-3522

Sole ProprietorNo

Enumeration DateMay 11, 2006

Last NPPES UpdateMay 25, 2010

✔ NPI 1215987367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in MI · 4301078807

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

602 MICHIGAN AVE, Holland, MI 49423

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Other Identifiers 3

Medicare UPINI01233

Medicare PING06256028MI

OtherP00161815MI · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John David Nicely Md 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

121 services119 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

91 services88 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 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.

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.

SUSAN BUIST LMSW

Social Worker (Clinical)