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MS. BRENDA J NICHOLS PA-C
NPI 1558426882
Physician Assistant in Grand Rapids, MI

Active since December 27, 2006PECOS Enrolled
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525(616) 459-7101(616) 464-6170 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Brenda J Nichols Pa-c NPPES

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

MS. BRENDA J NICHOLS PA-C (NPI 1558426882) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601006279) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558426882
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. BRENDA J NICHOLSCredential: PA-C
Location Address1111 LEFFINGWELL AVE NEGrand Rapids, MI 49525-6406
Mailing Address1111 Leffingwell Ave NeGrand Rapids, MI 49525-6406 · (616) 459-7101 · Fax (616) 464-6170
Phone(616) 459-7101
Fax(616) 464-6170
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateMay 13, 2022
NPPES CertifiedMay 13, 2022
✔ NPI 1558426882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MI · 5601006279✔ Licensed in IL · 085-002520✔ Licensed in WI · 2100
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1111 LEFFINGWELL AVE NE, Grand Rapids, MI 49525
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Brenda J Nichols Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 20

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

JUSTIN MICHAEL MILLER PA
Physician Assistant (Surgical)
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
DR. CHARLES D BUKREY MD
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE, SUITE 100
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
LAURA L BUCKS OT
Occupational Therapist
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
KURT THOMAS GEFFKEN MD
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
SCOTT DAVID BURGESS MD
Orthopaedic Surgery (Hand Surgery)
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
KELLY J NYE OT
Occupational Therapist
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
JOSEPH N PIGORSH PAC
Physician Assistant (Surgical)
1111 LEFFINGWELL AVE NE, STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101

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 Brenda Nichols's NPI number?

The NPI number for Brenda Nichols is 1558426882. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Brenda Nichols located?

Brenda Nichols practices at 1111 Leffingwell Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 459-7101.

What is Brenda Nichols's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brenda Nichols enrolled in Medicare?

Yes. Brenda Nichols is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenda Nichols was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.