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DR. NICOLE LUCIA TALLEY MD
NPI 1881940716
Pediatrics in Grand Rapids, MI

Active since July 29, 2012PECOS Enrolled
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-8810 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2026, Mar 31, 2025, Oct 21, 2019 (3 updates tracked since 2019).

About Dr. Nicole Lucia Talley Md NPPES

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

DR. NICOLE LUCIA TALLEY MD (NPI 1881940716) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301101402) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881940716
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. NICOLE LUCIA TALLEYCredential: MD
Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-8810
Sole ProprietorNo
Enumeration DateJuly 29, 2012
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1881940716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301101402
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
275 MICHIGAN ST NE, Grand Rapids, MI 49503
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Other Names 1

Former Name (1)Nicole Lucia Hidalgo Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Lucia Talley 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicole Talley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
0.1 mi
Internal Medicine
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1689499667 (616) 486-6790
Spectrum Health Hospitals
0.2 mi
Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group
NPI 1558407189 (616) 774-7377
Cherry Street Services, Inc.
0.9 mi
Federally Qualified Health Center (FQHC)
550 CHERRY ST SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 115 clinicians in this Medicare group
NPI 1558459164 (616) 235-7289

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 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
$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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

PHILLIP RICHTER PARAS M.D.
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
MR. ETHAN J LACOURT PA-C
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
CAROLINE BUCKLEY MD
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
DR. ABEBA M BERHANE MD
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-8810
MAKAYLA DENAE OTTEMAN PA-C
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
HIEN LUU PSYD
Clinical Neuropsychologist
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7401
HOPE ANN VIVIAN NP
Nurse Practitioner
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-2802
LAURA CLAIRE GOODWIN AGPCNP-BC
Nurse Practitioner (Gerontology)
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900

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 Talley's NPI number?

The NPI number for Nicole Talley is 1881940716. It was assigned to this individual provider in the NPPES registry on July 29, 2012. The provider is also known as Nicole Lucia Hidalgo MD.

Where is Nicole Talley located?

Nicole Talley practices at 275 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-8810.

What is Nicole Talley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Talley enrolled in Medicare?

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

Which organizations bill Medicare for Nicole Talley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Talley reassigns Medicare benefits to 3 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Spectrum Health Hospitals (Grand Rapids, MI) and Cherry Street Services, Inc. (Grand Rapids, MI). Each 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 Nicole Talley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Talley accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Nicole Talley 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 Nicole Talley was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.