MRS. NICHOLE LYNN PRIOR LMSW
NPI 1619648920
Social Worker - Clinical in Grand Rapids, MI

Active since September 26, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
426 MICHIGAN ST NE FL 3, GRAND RAPIDS, MI 49503(616) 447-5820 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2021, Sep 26, 2021 (2 updates tracked since 2021).

About Mrs. Nichole Lynn Prior Lmsw NPPES

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

MRS. NICHOLE LYNN PRIOR LMSW (NPI 1619648920) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801107763) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619648920
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. NICHOLE LYNN PRIORCredential: LMSW
Location Address426 MICHIGAN ST NE FL 3Grand Rapids, MI 49503-5609
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 26, 2021
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
NPI 1619648920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801107763
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
426 MICHIGAN ST NE FL 3, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nichole Lynn Prior Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688062383
PECOS Enrollment IDI20211029001223
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 49503 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
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Psychiatry)
426 MICHIGAN ST NE FL 3
GRAND RAPIDS, MI 49503
Psychiatry & Neurology (Psychiatry)
426 MICHIGAN ST NE FL 3
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
426 MICHIGAN ST NE FL 3
GRAND RAPIDS, MI 49503

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 Prior's NPI number?

The NPI number for Nichole Prior is 1619648920. It was assigned to this individual provider in the NPPES registry on September 26, 2021.

Where is Nichole Prior located?

Nichole Prior practices at 426 Michigan St NE Fl 3, Grand Rapids, MI 49503. The listed phone number is (616) 447-5820.

What is Nichole Prior's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Nichole Prior enrolled in Medicare?

Yes. Nichole Prior is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nichole Prior accept?

Health plans from McLaren Health Plan Community and Priority Health list Nichole Prior 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 Nichole Prior was last updated on December 6, 2021. 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.