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JONATHON K NICHOLSON MD
NPI 1538167572
Pediatrics in Defiance, OH

Active since July 13, 2005PECOS Enrolled
1400 E 2ND ST STE 100, DEFIANCE, OH 43512(419) 783-3226 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2023, Feb 14, 2023 (2 updates tracked since 2023).

About Jonathon K Nicholson Md NPPES

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

JONATHON K NICHOLSON MD (NPI 1538167572) is an individual pediatrics provider in Defiance, Ohio, licensed in Michigan (4301104162) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Ohio (2002).

NPPES Registry Identity

NPI1538167572
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJONATHON K NICHOLSONCredential: MD
Location Address1400 E 2ND ST STE 100Defiance, OH 43512-9905
Mailing Address1400 E 2nd St Ste 100Defiance, OH 43512-9905 · (419) 783-3226 · Fax (989) 356-8132
Phone(419) 783-3226
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 2002
Enumeration DateJuly 13, 2005
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1538167572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301104162
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X · License 35080078 (OH)
1400 E 2ND ST STE 100, Defiance, OH 43512
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Other Identifiers 1

Medicaid0010639OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community, MedMutual 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 (PECOS)

Jonathon K Nicholson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810993342
PECOS Enrollment IDI20251216002668
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43512 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN THERESA SCHMENK PNP
Nurse Practitioner (Pediatrics)
1400 E 2ND ST STE 100
DEFIANCE, OH 43512
Defiance County (419) 783-3226

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 Jonathon Nicholson's NPI number?

The NPI number for Jonathon Nicholson is 1538167572. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Jonathon Nicholson located?

Jonathon Nicholson practices at 1400 E 2nd St Ste 100, Defiance, OH 43512. The listed phone number is (419) 783-3226.

What is Jonathon Nicholson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jonathon Nicholson enrolled in Medicare?

Yes. Jonathon Nicholson is registered in the Medicare PECOS enrollment system.

What insurance does Jonathon Nicholson accept?

Health plans from CareSource, McLaren Health Plan Community, MedMutual and Molina Healthcare list Jonathon 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.

When was this NPI record last updated?

The NPPES record for Jonathon Nicholson was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.