LAUREN ASHLEY NICKERSON NP-C
NPI 1467113399
Registered Nurse in Lake Ann, MI

Active since January 03, 2022PECOS EnrolledAccepts Medicare Assignment
6152 BELLOWS LAKE RD, LAKE ANN, MI 49650(313) 590-2631 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2024, Apr 4, 2022, Jan 3, 2022 (3 updates tracked since 2022).

About Lauren Ashley Nickerson Np-c NPPES

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

LAUREN ASHLEY NICKERSON NP-C (NPI 1467113399) is an individual registered nurse in Lake Ann, Michigan, licensed in Michigan (4704275084) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1467113399
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameLAUREN ASHLEY NICKERSONCredential: NP-C
Location Address6152 BELLOWS LAKE RDLake Ann, MI 49650-9713
Mailing Address302 Hobart StCadillac, MI 49601-2379 · (231) 876-2644
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 3, 2022
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1467113399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in MI · 4704275084
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
6152 BELLOWS LAKE RD, Lake Ann, MI 49650

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

Lauren Ashley Nickerson Np-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 ID3577958586
PECOS Enrollment IDI20220309001960
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.

Medicare Billing Reassignments

4

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

Emergency Medicine
1105 6TH ST
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Interlochen Emergency Group PC
  • 60 clinicians in this Medicare group
Psychiatry
1105 SIXTH ST STE D6
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 156 clinicians in this Medicare group
Emergency Medicine
400 HOBART ST
Cadillac, MI 49601
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Caberfae Emergency Group PC
  • 92 clinicians in this Medicare group
Emergency Medicine
14700 LAKE SHORE DR
Charlevoix, MI 49720
  • Reassigned Medicare billing, Michigan enrollment
  • 97 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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
158 services150 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
106 services102 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
55 services54 patients

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 Lauren Nickerson's NPI number?

The NPI number for Lauren Nickerson is 1467113399. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Lauren Nickerson located?

Lauren Nickerson practices at 6152 Bellows Lake Rd, Lake Ann, MI 49650. The listed phone number is (313) 590-2631.

What is Lauren Nickerson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Lauren Nickerson enrolled in Medicare?

Yes. Lauren Nickerson 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 Lauren Nickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Nickerson reassigns Medicare benefits to 4 organizations: Interlochen Emergency Group, P.C. (Traverse City, MI), Munson Healthcare Cadillac (Traverse City, MI), Caberfae Emergency Group, P.C. (Cadillac, MI) and Hawk Emergency Group, P.C. (Charlevoix, 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 Lauren Nickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Nickerson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lauren Nickerson 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 Lauren Nickerson was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.