NICHOLAS S LAPENNA – Physician Assistant, NPI 1013196534

NICHOLAS S LAPENNA is a healthcare provider. based in Kalamazoo, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601005107 (MI). The NPI Number for NICHOLAS S LAPENNA is 1013196534

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS S LAPENNA
NPI
1013196534
Phone
(269) 226-7000
Address
1521 Gull Rd
Enumeration Date
1 November 2007
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2696553090
Graduation Year
2007 (19 years ago)
PAC ID
3678656618
Group Practice PAC ID
9032008495
Professional Enrollment ID
I20080213000592
Address ID
MI490798242PA451XXEXXX401
Telehealth
Yes

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for NICHOLAS S LAPENNA

  • 1521 Gull Rd

    Kalamazoo, MI 490481640

    Phone: (269) 226-7000

    Type: Location

  • 5943, Stadium Drive, Oshtemo, Oshtemo Township, Kalamazoo County, Michigan, 49009, United States

    SUITE 1

    KALAMAZOO, MI 490093016

    Phone: (269) 552-2836

    Type: Mailing

  • 6220, West Main Street, Oshtemo Township, Kalamazoo County, Michigan, 49009, United States

    KALAMAZOO, MI 490098925

    Phone: (269) 276-4744

    Fax: (269) 353-5856

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Mylan Specialty L.P. ($28).

Total Amount

$59

General + Research + Ownership

Payments

3

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080213000592IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes181175$0
View full utilization report →

Insurance plans in this area (ZIP 49048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032008495View full group profile
NameSpecialtyState
Physician AssistantMI
Clinical Social WorkerMI
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
General SurgeryMI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
Clinical Social WorkerMI
-MI

Reviews

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Frequently asked questions

What is the registry number for NICHOLAS S LAPENNA?
The registry entry for NICHOLAS S LAPENNA shows NPI 1013196534.
Should I treat NICHOLAS S LAPENNA as an active provider?
Patients and plans typically see NICHOLAS S LAPENNA as active in the national extract.
What does the directory say NICHOLAS S LAPENNA does?
Insurance directories may phrase it differently, but here NICHOLAS S LAPENNA maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to NICHOLAS S LAPENNA?
NICHOLAS S LAPENNA shows a connection to Kalamazoo, Michigan in registry-derived data.
Why is information missing for NICHOLAS S LAPENNA?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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