NICHOLE ROOST OTR/L
NPI 1548656366
Occupational Therapist - Hand in Traverse City, MI

Active since April 08, 2015
4110 COPPER RIDGE DR STE 204D, TRAVERSE CITY, MI 49684(231) 300-8411 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 22, 2024, May 2, 2022 (2 updates tracked since 2022).

About Nichole Roost Otr/l NPPES

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

NICHOLE ROOST OTR/L (NPI 1548656366) is an individual hand provider in Traverse City, Michigan, licensed in Michigan (5201011112) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1548656366
Entity TypeIndividualFemale
Primary Taxonomy225XH1200X
Provider Legal NameNICHOLE ROOSTCredential: OTR/L
Location Address4110 COPPER RIDGE DR STE 204DTraverse City, MI 49684-6721
Mailing Address4110 Copper Ridge Dr Ste 204dTraverse City, MI 49684-6721 · (231) 300-8411
Sole ProprietorNo
Enumeration DateApril 8, 2015
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1548656366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License✔ Licensed in MI · 5201011112
4110 COPPER RIDGE DR STE 204D, Traverse City, MI 49684

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichole Roost Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

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

Clinic/Center
4110 COPPER RIDGE DR STE 204D
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
Hand Surgery
701 W FRONT ST, SUITE 100
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 11 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.

Other Providers at the Same Location NPPES

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

Clinic/Center
4110 COPPER RIDGE DR STE 204D
TRAVERSE CITY, MI 49684

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 Nichole Roost's NPI number?

The NPI number for Nichole Roost is 1548656366. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Nichole Roost located?

Nichole Roost practices at 4110 Copper Ridge Dr Ste 204D, Traverse City, MI 49684. The listed phone number is (231) 300-8411.

What is Nichole Roost's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Nichole Roost enrolled in Medicare?

Yes. Nichole Roost is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nichole Roost's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Roost reassigns Medicare benefits to 2 organizations: Bayshore Hand Rehabilitation (Traverse City, MI) and Hand Surgery Of Northern Michigan Plc (Traverse City, 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 Nichole Roost'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 Nichole Roost was last updated on April 22, 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.