QUINN ALYSE ICKE
NPI 1306589940
Pediatrics in Grand Rapids, MI

Q: What is Quinn Icke's NPI number?

The NPI number for Quinn Icke is 1306589940. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Q: What is Quinn Icke's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Quinn Icke was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 20, 2022PECOS Enrolled

275 MICHIGAN ST NE FL 8, GRAND RAPIDS, MI 49503(616) 391-8810(616) 391-8897 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2026, Apr 10, 2025, Feb 10, 2025 and 3 more (6 updates tracked since 2022).

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About Quinn Alyse Icke NPPES

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

QUINN ALYSE ICKE (NPI 1306589940) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4351052915) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306589940

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameQUINN ALYSE ICKE

Location Address275 MICHIGAN ST NE FL 8Grand Rapids, MI 49503-2531

Mailing Address275 Michigan St Ne Fl 8Grand Rapids, MI 49503-2531 · (616) 391-8810 · Fax (616) 391-8897

Phone(616) 391-8810

Fax(616) 391-8897

Sole ProprietorYes

Enumeration DateApril 20, 2022

Last NPPES UpdateMay 22, 20266 updates tracked since enumeration

NPPES CertifiedMay 22, 2026

✔ NPI 1306589940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4351052915

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

275 MICHIGAN ST NE FL 8, Grand Rapids, MI 49503

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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)

Quinn Alyse Icke 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 49503 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.

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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.

DR. EMILY SUSAN MILLER MD

Pediatrics