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MICHAEL A NICOLAS NP
NPI 1497284202
Nurse Practitioner - Psychiatric/Mental Health in Fullerton, CA

Active since June 06, 2017PECOS Enrolled
80.58/100
CMS Quality Rating
2501 E CHAPMAN AVE STE 107C, FULLERTON, CA 92831(562) 304-5150(562) 317-1073 Get Directions Write a Review

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

Record update history: Apr 18, 2026, Sep 6, 2021, Aug 29, 2021 and 2 more (5 updates tracked since 2017).

About Michael A Nicolas Np NPPES

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

MICHAEL A NICOLAS NP (NPI 1497284202) is an individual psychiatric/mental health provider in Fullerton, California, licensed in California (95017723) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497284202
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL A NICOLASCredential: NP
Location Address2501 E CHAPMAN AVE STE 107CFullerton, CA 92831-3132
Mailing Address2501 E Chapman Ave Ste 107cFullerton, CA 92831-3132 · (562) 304-5150 · Fax (562) 317-1073
Phone(562) 304-5150
Fax(562) 317-1073
Sole ProprietorYes
Enumeration DateJune 6, 2017
Last NPPES UpdateApril 18, 20265 updates tracked since enumeration
NPPES CertifiedApril 18, 2026
✔ NPI 1497284202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95017723
Also ListedRegistered NurseTaxonomy 163W00000X · License 95079457 (CA)
2501 E CHAPMAN AVE STE 107C, Fullerton, CA 92831
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael A Nicolas Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Michael Nicolas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Behavioral Nursing Corporation
Same address
Psychiatric/Mental Health
2501 E CHAPMAN AVE STE 107-C
Fullerton, CA 92831
  • Reassigned Medicare billing, California enrollment
NPI 1457202335 (562) 304-5150
Grow Healthcare Group PC
328 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 92831 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.86
Improvement Activities40
Cost18.12

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 Michael Nicolas's NPI number?

The NPI number for Michael Nicolas is 1497284202. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Michael Nicolas located?

Michael Nicolas practices at 2501 E Chapman Ave Ste 107C, Fullerton, CA 92831. The listed phone number is (562) 304-5150.

What is Michael Nicolas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michael Nicolas enrolled in Medicare?

Yes. Michael Nicolas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Nicolas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Nicolas reassigns Medicare benefits to 2 organizations: Psychiatric Behavioral Nursing Corporation (Fullerton, CA) and Grow Healthcare Group PC (San Jose, CA). 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 Michael Nicolas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Nicolas was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.