JAKE ANTHONY NICHOLSON DO
NPI 1467013698
Surgery - Vascular Surgery in Grand Rapids, MI

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-8700(616) 267-8247 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, May 26, 2022, Jul 14, 2019 (3 updates tracked since 2019).

About Jake Anthony Nicholson Do NPPES

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

JAKE ANTHONY NICHOLSON DO (NPI 1467013698) is an individual vascular surgery provider in Grand Rapids, Michigan, licensed in Michigan (5151014043) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467013698
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameJAKE ANTHONY NICHOLSONCredential: DO
Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Fax(616) 267-8247
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2019
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1467013698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in MI · 5151014043
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
275 MICHIGAN ST NE, Grand Rapids, MI 49503

Accepted 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

Jake Anthony Nicholson Do 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 ID7214266048
PECOS Enrollment IDI20240719001415
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 4

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.
36 services32 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
35 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
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.

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230003
Location8333 Felch StZeeland, MI 49464 · Ottawa County
Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Corewell Health Reed City Hospital

Critical Access Hospitals · Reed City, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231323
Location300 N Patterson, PO Box 75Reed City, MI 49677 · Osceola County
Emergency services

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
$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.

Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Clinical Neuropsychologist
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Gerontology)
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

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 Jake Nicholson's NPI number?

The NPI number for Jake Nicholson is 1467013698. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Jake Nicholson located?

Jake Nicholson practices at 275 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-8700.

What is Jake Nicholson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Jake Nicholson enrolled in Medicare?

Yes. Jake Nicholson 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.

What insurance does Jake Nicholson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jake Nicholson 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 Jake Nicholson affiliated with any hospitals?

According to CMS data, Jake Nicholson is affiliated with Corewell Health Zeeland Hospital, Spectrum Health, Corewell Health Big Rapids Hospital, Corewell Health Ludington Hospital and Corewell Health Reed City Hospital.

When was this NPI record last updated?

The NPPES record for Jake Nicholson was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.