MICHAEL KIAMOS NICHOLAS RN, MSN, PMHNP-BC
NPI 1275262214
Nurse Practitioner - Psychiatric/Mental Health in Berkeley, CA

Q: What is Michael Nicholas's NPI number?

The NPI number for Michael Nicholas is 1275262214. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Q: What is Michael Nicholas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michael Nicholas was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 06, 2022PECOS Enrolled

3075 ADELINE ST., #280, BERKELEY, CA 94703(510) 981-4100 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2022, Jun 6, 2022 (2 updates tracked since 2022).

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About Michael Kiamos Nicholas Rn, Msn, Pmhnp-bc NPPES

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

MICHAEL KIAMOS NICHOLAS RN, MSN, PMHNP-BC (NPI 1275262214) is an individual psychiatric/mental health provider in Berkeley, California, licensed in California (NP95019631) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275262214

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMICHAEL KIAMOS NICHOLASCredential: RN, MSN, PMHNP-BC

Location Address3075 ADELINE ST., #280Berkeley, CA 94703

Mailing Address3075 Adeline St Ste 280Berkeley, CA 94703-2580 · (510) 981-4100

Phone(510) 981-4100

Sole ProprietorYes

Enumeration DateJune 6, 2022

Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration

NPPES CertifiedDecember 9, 2022

✔ NPI 1275262214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · NP95019631

3075 ADELINE ST., Berkeley, CA 94703

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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)

Michael Kiamos Nicholas Rn, Msn, Pmhnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94703 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 2

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

MR. MICHAEL FRANCIS HARANK RN

Registered Nurse

3075 ADELINE ST., SUITE 280
BERKELEY, CA 94703

Alameda County (510) 486-3424

REBECCA SUSAN LIEBERKNECHT PSYCHOLOGICAL ASSIST

Counselor (Mental Health)

3075 ADELINE ST., SUITE 120
BERKELEY, CA 94703

Alameda County (510) 848-1112

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 Michael Nicholas's NPI number?

The NPI number for Michael Nicholas is 1275262214. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is Michael Nicholas located?

Michael Nicholas practices at 3075 Adeline St. #280, Berkeley, CA 94703. The listed phone number is (510) 981-4100.

What is Michael Nicholas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Nicholas enrolled in Medicare?

Yes. Michael Nicholas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Nicholas was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.