NICOLE POLIDORI KOSKI OD
NPI 1417987603
Optometrist in Sterling Hts, MI
About Nicole Polidori Koski Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE POLIDORI KOSKI OD (NPI 1417987603) is an individual optometrist in Sterling Hts, Michigan, licensed in Michigan (4901003891) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted 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
Nicole Polidori Koski Od 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.
Medicare Billing Reassignments
4Medicare enrollment records show Nicole Koski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton Township, MI 48036
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Shelby Township, MI 48315
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Clawson, MI 48017
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nicole Koski's NPI number?
The NPI number for Nicole Koski is 1417987603. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is Nicole Koski located?
Nicole Koski practices at 13400 E 15 Mile Rd, Sterling Hts, MI 48312. The listed phone number is (586) 939-1122.
What is Nicole Koski's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Nicole Koski enrolled in Medicare?
Yes. Nicole Koski 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 Nicole Koski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Koski reassigns Medicare benefits to 4 organizations: M.A. Schwartz Optometrist Inc (Clinton Township, MI), Word Optical Group LLC (Shelby Township, MI), House Of Optical, Inc. (Clawson, MI) and Royal Oak Optical PLLC (Royal Oak, MI). 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 Nicole Koski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Koski accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 15 other insurers list Nicole Koski 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.
When was this NPI record last updated?
The NPPES record for Nicole Koski was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Nicole Polidori Koski, OD · NPI 1417987603
Optometrist provider in Sterling Hts, Michigan. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1417987603 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901003891 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 13400 E 15 MILE RD, Sterling Hts, MI 48312
- **Phone:** (586) 939-1122 · **Fax:** (586) 939-9328
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): M.A. Schwartz Optometrist Inc (NPI 1730375189, Clinton Township, MI); Word Optical Group LLC (NPI 1366209702, Shelby Township, MI); House Of Optical, Inc. (NPI 1134290505, Clawson, MI); Royal Oak Optical PLLC (NPI 1700582889, Royal Oak, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ferris State College - College Of Optometry, class of 1997
## Record status
- **NPPES last updated:** February 21, 2013
- **Other identifiers:** Medicare PIN E06563002 (MI); Other 0166710001 (MI); Medicare UPIN U93700; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1417987603) · Data from the CMS NPPES public registry.