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NICOLE BROOKE LANGAN PA-C
NPI 1821980608
Physician Assistant in Detroit, MI

Active since July 16, 2025PECOS Enrolled
259 MACK AVE STE 2590, DETROIT, MI 48201(313) 577-1716 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Brooke Langan Pa-c NPPES

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

NICOLE BROOKE LANGAN PA-C (NPI 1821980608) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601013045) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1821980608
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE BROOKE LANGANCredential: PA-C
Location Address259 MACK AVE STE 2590Detroit, MI 48201-2427
Mailing Address7114 Woodlore CtWest Bloomfield, MI 48323-4029 · (248) 252-3062
Phone(313) 577-1716
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1821980608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601013045
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
259 MACK AVE STE 2590, Detroit, MI 48201
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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)

Nicole Brooke Langan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870089212
PECOS Enrollment IDI20260328000263
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 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 6

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

MS. SELENA SHAMO
Physician Assistant
259 MACK AVE STE 2590
DETROIT, MI 48201
Wayne County (313) 577-1716
BROOKE MORGAN ADEMA
Physician Assistant
259 MACK AVE STE 2590
DETROIT, MI 48201
Wayne County (313) 577-1716
ALLISON BAUER
Physician Assistant
259 MACK AVE STE 2590
DETROIT, MI 48201
Wayne County (313) 577-1716
ELIZABETH ROBIN NEWBERGER
Physician Assistant
259 MACK AVE STE 2590
DETROIT, MI 48201
Wayne County (313) 577-1368
RAECHEL MCKIERNAN
Physician Assistant (Surgical)
259 MACK AVE STE 2590
DETROIT, MI 48201
Wayne County (313) 577-1716
BRITTANY TAYLOR LIPCSIK
Physician Assistant
259 MACK AVE STE 2590
DETROIT, MI 48201
Wayne County (313) 577-1716

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 Nicole Langan's NPI number?

The NPI number for Nicole Langan is 1821980608. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Nicole Langan located?

Nicole Langan practices at 259 Mack Ave Ste 2590, Detroit, MI 48201. The listed phone number is (313) 577-1716.

What is Nicole Langan's specialty?

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

Is Nicole Langan enrolled in Medicare?

Yes. Nicole Langan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Langan was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.