NICOLE JOAN ARCHAMBAULT PA-C
NPI 1407214315
Physician Assistant - Medical in Traverse City, MI

Q: What is Nicole Archambault's NPI number?

The NPI number for Nicole Archambault is 1407214315. It was assigned to this individual provider in the NPPES registry on February 5, 2016.

Q: What is Nicole Archambault's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since February 05, 2016PECOS EnrolledAccepts Medicare Assignment

1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684(231) 935-5800(231) 935-5799 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2023, Nov 23, 2022, Oct 19, 2022 and 2 more (5 updates tracked since 2016).

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About Nicole Joan Archambault Pa-c NPPES

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

NICOLE JOAN ARCHAMBAULT PA-C (NPI 1407214315) is an individual medical provider in Traverse City, Michigan, licensed in Michigan (5601007654) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Cadillac Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1407214315

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNICOLE JOAN ARCHAMBAULTCredential: PA-C

Location Address1200 SIXTH ST STE 200Traverse City, MI 49684-2369

Mailing Address1827 Hansen CirTraverse City, MI 49685-7450 · (906) 367-0448

Phone(231) 935-5800

Fax(231) 935-5799

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 5, 2016

Last NPPES UpdateJanuary 18, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2023

✔ NPI 1407214315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601007654

1200 SIXTH ST STE 200, Traverse City, MI 49684

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Secondary Practice Locations 3

Location 1205 Osceola StLaurium, MI 49913-2134 · Phone (906) 337-6560 ext. 19252

Location 2419 S Coral StKalkaska, MI 49646-2503 · Phone (231) 258-3641 · Fax (231) 258-3600

Location 3704 Oak StCadillac, MI 49601-2385 · Phone (231) 876-6753 · Fax (231) 876-6769

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, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Joan Archambault Pa-c 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 ID6800191149

PECOS Enrollment IDI20160224000297

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

442 services425 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

46 services45 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230081

Location400 Hobart StCadillac, MI 49601 · Wexford County

Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230133

Location825 N Center AveGaylord, MI 49735 · Otsego County

Birthing friendly

Paul Oliver Memorial Hospital

Critical Access Hospitals · Frankfort, MI

OwnershipGovernment - Local

CMS Certification Number231300

Location224 Park AvenueFrankfort, MI 49635 · Benzie County

Emergency services

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI

OwnershipGovernment - Hospital District or Authority

CMS Certification Number231301

Location419 S CoralKalkaska, MI 49646 · Kalkaska County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers12 claims25 services$2.89 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers11 claims12 services$43.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DEREK HENDRICKSON PA-C

Physician Assistant (Medical)