NICOLE GRODE PA-C
NPI 1912397225
Physician Assistant in Caledonia, MI

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
80.47/100
CMS Quality Rating
7169 KALAMAZOO AVE SE STE 100, CALEDONIA, MI 49316(616) 266-9100(616) 266-9200 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2019, Mar 23, 2016, Jan 14, 2016 (3 updates tracked since 2016).

About Nicole Grode Pa-c NPPES

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

NICOLE GRODE PA-C (NPI 1912397225) is an individual physician assistant in Caledonia, Michigan and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and maintains a secondary practice location in Hastings.

NPPES Registry Identity

NPI1912397225
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE GRODECredential: PA-C
Location Address7169 KALAMAZOO AVE SE STE 100Caledonia, MI 49316
Mailing Address7169 Kalamazoo Ave Se Ste 100Caledonia, MI 49316-8146 · (616) 266-9100 · Fax (616) 266-9200
Fax(616) 266-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 26, 2015
Last NPPES UpdateJuly 17, 20193 updates tracked since enumeration
NPI 1912397225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
7169 KALAMAZOO AVE SE STE 100, Caledonia, MI 49316

Other Names 1

Former Name (1)Nicole Neubauer Pa-c

Secondary Practice Location 1

Location 1840 Cook RdHastings, MI 49058-9616 · Phone (269) 945-9520 · Fax (269) 945-9580

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

Nicole Grode Pa-c 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 ID9830415132
PECOS Enrollment IDI20150304000917
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
194 services30 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
54 services35 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
46 services31 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
35 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49316 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
$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.

80.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.01
Improvement Activities40
Cost66.89

Other Providers at the Same Location NPPES 5

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

Physician Assistant
7169 KALAMAZOO AVE SE STE 100
CALEDONIA, MI 49316
Orthopaedic Surgery
7169 KALAMAZOO AVE SE STE 100
CALEDONIA, MI 49316
Physician Assistant
7169 KALAMAZOO AVE SE STE 100
CALEDONIA, MI 49316
Orthopaedic Surgery
7169 KALAMAZOO AVE SE STE 100
CALEDONIA, MI 49316
Orthopaedic Surgery
7169 KALAMAZOO AVE SE STE 100
CALEDONIA, MI 49316

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 Grode's NPI number?

The NPI number for Nicole Grode is 1912397225. It was assigned to this individual provider in the NPPES registry on January 26, 2015. The provider is also known as Nicole Neubauer Pa-C.

Where is Nicole Grode located?

Nicole Grode practices at 7169 Kalamazoo Ave SE Ste 100, Caledonia, MI 49316. The listed phone number is (616) 266-9100.

What is Nicole Grode's specialty?

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

Is Nicole Grode enrolled in Medicare?

Yes. Nicole Grode 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 Nicole Grode accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Nicole Grode 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.

Is Nicole Grode affiliated with any hospitals?

According to CMS data, Nicole Grode is affiliated with University Of Michigan Health - West and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Grode was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.