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JEREMY MICHAEL NICOSKI
NPI 1336786078
Nurse Anesthetist, Certified Registered in Hancock, MI

Active since December 02, 2019Accepts Medicare Assignment
500 CAMPUS DR, HANCOCK, MI 49930(906) 483-1516 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeremy Michael Nicoski NPPES

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

JEREMY MICHAEL NICOSKI (NPI 1336786078) is an individual nurse anesthetist, certified registered in Hancock, Michigan, licensed in Michigan (4704334699) and active in the NPI registry since December 2019. He is affiliated with Aspirus Keweenaw Hospital And Clinics and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336786078
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEREMY MICHAEL NICOSKI
Location Address500 CAMPUS DRHancock, MI 49930-1452
Mailing Address1922 Whippoorwill WaySartell, MN 56377-4706 · (320) 493-1477
Phone(906) 483-1516
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 2, 2019
✔ NPI 1336786078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704334699
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
500 CAMPUS DR, Hancock, MI 49930
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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 and accepts Medicare assignment

Jeremy Michael Nicoski 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 ID345677985
PECOS Enrollment IDI20200220003068

Medicare Billing Reassignments

4

Medicare enrollment records show Jeremy Nicoski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Portage Hospital LLC
Same address
General Acute Care Hospital
500 CAMPUS DR
Hancock, MI 49930
  • Reassigned Medicare billing, Michigan enrollment
  • 38 clinicians in this Medicare group
NPI 1245667229 (906) 483-1000
Aspirus Keweenaw
1.0 mi
Occupational Therapist
1000 CEDAR STREET
Houghton, MI 49931
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1326115569 (Michigan)
  • 210 clinicians in this Medicare group
NPI 1205164555 (906) 482-8201
Saginaw Anesthesia Services, PLLC
342 mi
Anesthesiology
1447 N HARRISON ST
Saginaw, MI 48602
  • Reassigned Medicare billing, Michigan enrollment
  • 47 clinicians in this Medicare group
NPI 1205083615 (989) 583-0000
Hospitalist Medicine Physicians Of Michigan-Alpena PLLC
772 mi
Anesthesiology
5410 MARYLAND WAY STE 300
Brentwood, TN 37027
  • Reassigned Medicare billing, Michigan enrollment
  • 44 clinicians in this Medicare group
NPI 1043818156 (615) 577-6301

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Keweenaw Hospital And Clinics

Critical Access Hospitals · Laurium, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231319
Location205 OsceolaLaurium, MI 49913 · Houghton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49930 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

MERCEDES A MAKI PA
Physician Assistant (Medical)
500 CAMPUS DR
HANCOCK, MI 49930
Houghton County (906) 483-1000
JENNIFER LYNN ERICKSON LMSW
Social Worker (Clinical)
500 CAMPUS DR
HANCOCK, MI 49930
Houghton County (906) 483-1060
COLLEEN MARIE VALLAD-HIX DO
Pediatrics
500 CAMPUS DR
HANCOCK, MI 49930
Houghton County (906) 483-1700
MICHAEL CONRAD SALMI CRNA
Nurse Anesthetist, Certified Registered
500 CAMPUS DR
HANCOCK, MI 49930
Houghton County (906) 483-1000
DOUGLAS MCKENZIE MD
Family Medicine
500 CAMPUS DR
HANCOCK, MI 49930
Houghton County (906) 483-1060
TIMOTHY SEARS MD
Surgery
500 CAMPUS DR
HANCOCK, MI 49930
Houghton County (906) 483-1040
VANDANA CHATTERJEE MD
Internal Medicine
500 CAMPUS DR
HANCOCK, MI 49930
Houghton County (906) 483-1730
MS. COURTNEY HOLLY SMITH PA
Physician Assistant
500 CAMPUS DR, EMERGENCY DEPARTMENT
HANCOCK, MI 49930
Houghton County (906) 483-1000

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 Jeremy Nicoski's NPI number?

The NPI number for Jeremy Nicoski is 1336786078. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Where is Jeremy Nicoski located?

Jeremy Nicoski practices at 500 Campus Dr, Hancock, MI 49930. The listed phone number is (906) 483-1516.

What is Jeremy Nicoski's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jeremy Nicoski enrolled in Medicare?

Yes. Jeremy Nicoski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeremy Nicoski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Nicoski reassigns Medicare benefits to 4 organizations: Portage Hospital LLC (Hancock, MI), Aspirus Keweenaw (Houghton, MI), Saginaw Anesthesia Services, PLLC (Saginaw, MI) and Hospitalist Medicine Physicians Of Michigan-Alpena PLLC (Brentwood, TN). Each 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 Jeremy Nicoski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Nicoski accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jeremy Nicoski 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.

Is Jeremy Nicoski affiliated with any hospitals?

According to CMS data, Jeremy Nicoski is affiliated with Aspirus Keweenaw Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Jeremy Nicoski was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.