JONATHON K NICHOLSON MD
NPI 1538167572
Pediatrics in Defiance, OH
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
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jonathon K Nicholson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Jonathon Nicholson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Toledo, OH 43608
- Reassigned Medicare billing, Ohio enrollment
- 233 clinicians in this Medicare group
Three Rivers, MI 49093
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Ascension Borgess Hospital
- 247 clinicians in this Medicare group
Dallas, TX 75219
- Reassigned Medicare billing, Texas enrollment
- 55 clinicians in this Medicare group
Denver, CO 80205
- Reassigned Medicare billing, Ohio enrollment
- Medicare enrollment name: Cirrusmd Medical Group Of Delaware PA
- 24 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 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Jonathon Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathon Nicholson reassigns Medicare benefits to 4 organizations: Northwest Pediatric Specialists, LLC (Toledo, OH), Beacon Kalamazoo Inc (Three Rivers, MI), Cmdpn Medical Group Of Texas, P.A. (Dallas, TX) and Cirrusmd Medical Group Of Delaware, P.A. (Denver, CO). 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 Jonathon Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathon Nicholson accept?
Health plans from AmeriHealth Caritas Next, McLaren Health Plan Community and MedMutual 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.
# Jonathon K Nicholson, MD · NPI 1538167572
Pediatrics physician in Defiance, Ohio. Individual provider, active in the CMS NPPES registry since July 13, 2005.
## Identity
- **NPI:** 1538167572 (Entity type: Individual)
- **Enumerated:** July 13, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301104162 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 E 2ND ST STE 100, Defiance, OH 43512-9905
- **Phone:** (419) 783-3226
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Northwest Pediatric Specialists, LLC (NPI 1033709100, Toledo, OH); Beacon Kalamazoo Inc (NPI 1629495320, Three Rivers, MI); Cmdpn Medical Group Of Texas, P.A. (NPI 1174082150, Dallas, TX); Cirrusmd Medical Group Of Delaware, P.A. (NPI 1922664200, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Ohio, class of 2002
## Record status
- **NPPES last updated:** February 28, 2023
- **Other identifiers:** Medicaid 0010639 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1538167572) · Data from the CMS NPPES public registry.