NICHOLAS KURZ PRYDE MD
NPI 1790571040
Student in an Organized Health Care Education/Training Program in Elk Rapids, MI

Active since April 15, 2025PECOS Enrolled
PO BOX 474, ELK RAPIDS, MI 49629(248) 892-8933 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Nicholas Kurz Pryde Md NPPES

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

NICHOLAS KURZ PRYDE MD (NPI 1790571040) is an individual student in an organized health care education/training program in Elk Rapids, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790571040
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS KURZ PRYDECredential: MD
Location AddressPO BOX 474Elk Rapids, MI 49629-0474
Mailing AddressPo Box 474Elk Rapids, MI 49629-0474 · (248) 892-8933
Sole ProprietorNo
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1790571040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
PO BOX 474, Elk Rapids, MI 49629

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Kurz Pryde Md 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.

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 Nicholas Pryde's NPI number?

The NPI number for Nicholas Pryde is 1790571040. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Nicholas Pryde located?

Nicholas Pryde practices at PO Box 474, Elk Rapids, MI 49629. The listed phone number is (248) 892-8933.

What is Nicholas Pryde's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Pryde enrolled in Medicare?

Yes. Nicholas Pryde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Pryde was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.