NIKITA S. JABER OD
NPI 1861015489
Optometrist in Grand Rapids, MI
About Nikita S. Jaber Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKITA S. JABER OD (NPI 1861015489) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901005488) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nikita S. Jaber Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Nikita Jaber reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49504
- Reassigned Medicare billing, Michigan enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nikita Jaber's NPI number?
The NPI number for Nikita Jaber is 1861015489. It was assigned to this individual provider in the NPPES registry on May 19, 2020.
Where is Nikita Jaber located?
Nikita Jaber practices at 644 Fulton St W Ste C, Grand Rapids, MI 49504. The listed phone number is (616) 465-5503.
What is Nikita Jaber's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Nikita Jaber enrolled in Medicare?
Yes. Nikita Jaber 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.
Which organization bills Medicare for Nikita Jaber's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nikita Jaber reassigns Medicare benefits to Clear Sky Holdings, LLC (Grand Rapids, MI). The 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 Nikita Jaber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nikita Jaber accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 11 other insurers list Nikita Jaber 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 Nikita Jaber was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Nikita S. Jaber, OD · NPI 1861015489
Optometrist provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since May 19, 2020.
## Identity
- **NPI:** 1861015489 (Entity type: Individual)
- **Enumerated:** May 19, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901005488 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 644 FULTON ST W STE C, Grand Rapids, MI 49504-5309
- **Phone:** (616) 465-5503 · **Fax:** (616) 777-5221
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Clear Sky Holdings, LLC (NPI 1407542053, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861015489) · Data from the CMS NPPES public registry.