MICHAEL NICKERSON NP
NPI 1942219381
Nurse Practitioner in Portsmouth, NH

Q: What is Michael Nickerson's NPI number?

The NPI number for Michael Nickerson is 1942219381. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Michael Nickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Nickerson was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 05, 2006PECOS Enrolled

333 BORTHWICK AVE, EMERGENCY DEPARTMENT, PORTSMOUTH, NH 03801(603) 433-4012(603) 433-5184 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael Nickerson Np NPPES

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

MICHAEL NICKERSON NP (NPI 1942219381) is an individual nurse practitioner in Portsmouth, New Hampshire, licensed in New Hampshire (033993-23-03) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1942219381

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMICHAEL NICKERSONCredential: NP

Location Address333 BORTHWICK AVE, EMERGENCY DEPARTMENTPortsmouth, NH 03801-7128

Mailing Address333 Borthwick Ave, Emergency DepartmentPortsmouth, NH 03801-7128 · (603) 433-4012 · Fax (603) 433-5184

Phone(603) 433-4012

Fax(603) 433-5184

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateAugust 5, 2006

Last NPPES UpdateAugust 10, 2012

✔ NPI 1942219381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NH · 033993-23-03

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

333 BORTHWICK AVE, Portsmouth, NH 03801

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Other Identifiers 8

Medicare UPINS84262NH

Medicare ID-Type UnspecifiedNP1899NH

Medicaid30011603NH

Medicaid247490099ME

Medicaid0711608MA

Other4007290Y0NH01NH · Anthem

Other930112668Railroad Medicare

Medicare PINUX9106NH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Nickerson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406812577

PECOS Enrollment IDI20041209000785

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 03801 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

$89.14 typical visit price

range $57.75 – $174.26

Typical copayment $22.28 (range $14.43 – $43.56)

Most-billed visit code 99203

Established Patient

$101.54 typical visit price

range $18.70 – $142.15

Typical copayment $25.38 (range $4.67 – $35.53)

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.

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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.

DR. JOHN PAUL GENS JR. MD

Surgery

333 BORTHWICK AVE, SUITE 305
PORTSMOUTH, NH 03801

Rockingham County (603) 433-6994

YOO NA CHUN MD

Student in an Organized Health Care Education/Training Program