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NICOLE WHITMORE PA
NPI 1922621218
Physician Assistant in Detroit, MI

Active since May 21, 2020PECOS Enrolled
4420 E DAVISON ST, DETROIT, MI 48212(313) 369-1500(313) 369-1205 Get Directions Write a Review

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

Record update history: Dec 16, 2025, May 21, 2020 (2 updates tracked since 2020).

About Nicole Whitmore Pa NPPES

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

NICOLE WHITMORE PA (NPI 1922621218) is an individual physician assistant in Detroit, Michigan and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922621218
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE WHITMORECredential: PA
Location Address4420 E DAVISON STDetroit, MI 48212-1744
Mailing Address18000 W 9 Mile Rd Ste 200Southfield, MI 48075-4020 · (248) 336-4000 · Fax (248) 336-9137
Phone(313) 369-1500
Fax(313) 369-1205
Sole ProprietorNo
Enumeration DateMay 21, 2020
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1922621218 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.
4420 E DAVISON ST, Detroit, MI 48212
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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, McLaren Health Plan Community and more.Insurance ›

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 Whitmore Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48212 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 16

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

RACHEL JOANNA BERRY MS, PA
Family Medicine
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Wayne County (313) 369-1500
ADRIAN MORENO PEREZ PA-C
Physician Assistant
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Wayne County (313) 369-1500
AMITABH PAHARIA M.D.
Family Medicine
4420 E DAVISON ST
DETROIT, MI 48212
Wayne County (313) 369-1500
TAYSHA L HURT FNP
Nurse Practitioner (Family)
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Wayne County (313) 369-1500
E DAVIDSON RX LLC
Pharmacy (Community/Retail Pharmacy)
4420 E DAVISON ST
DETROIT, MI 48212
Wayne County (313) 334-6711
GREAT LAKES FAMILY MEDICAL CENTER PLLC
Family Medicine
4420 E DAVISON ST
DETROIT, MI 48212
Wayne County (313) 369-1500
EPIC CARE CENTERS INC
Family Medicine
4420 E DAVISON ST
HAMTRAMCK, MI 48212
Wayne County (313) 752-2070
DR. GEORGE DOMINIC MAMMO MD, MS
Family Medicine
4420 E DAVISON ST
DETROIT, MI 48212
Wayne County (313) 369-1500

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 Whitmore's NPI number?

The NPI number for Nicole Whitmore is 1922621218. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Where is Nicole Whitmore located?

Nicole Whitmore practices at 4420 E Davison St, Detroit, MI 48212. The listed phone number is (313) 369-1500.

What is Nicole Whitmore's specialty?

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

Is Nicole Whitmore enrolled in Medicare?

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

What insurance does Nicole Whitmore accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Nicole Whitmore 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 Whitmore was last updated on December 16, 2025. 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.