NICOLE ANN KROSNICKI (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1134539265

NICOLE ANN KROSNICKI (NURSE PRACTITIONER) is a healthcare provider. based in Croswell, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 4704257242 (MI). The NPI Number for NICOLE ANN KROSNICKI (NURSE PRACTITIONER) is 1134539265

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ANN KROSNICKI (NURSE PRACTITIONER)
NPI
1134539265
Phone
(810) 679-0012
Address
8 N HOWARD AVE
Enumeration Date
29 April 2014
Last Update Date
24 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603355064
Graduation Year
2014 (12 years ago)
PAC ID
7911121645
Group Practice PAC ID
7618367087
Professional Enrollment ID
I20140618002424
Address ID
MI480673837RO306XXAVEX401

Contacts

Secure Messaging
nicole.demarco@mhs.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

8,105 NURSE PRACTITIONER in MI

Provider Addresses for NICOLE ANN KROSNICKI (NURSE PRACTITIONER)

  • 8 N HOWARD AVE

    CROSWELL, MI 484221221

    Phone: (810) 679-0012

    Fax: (810) 679-0004

    Type: Location

  • 120 N DELAWARE ST

    SANDUSKY, MI 484711009

    Phone: (810) 648-3770

    Type: Mailing

  • 170 W ARGYLE ST

    SANDUSKY, MI 484711097

    Phone: (810) 648-3229

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $589.

Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($229).

Total Amount

$589

General + Research + Ownership

Payments

33

Total payment records

General Amount

$589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2014-06-18

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
I20140618002424INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48422)

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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: 7618367087View full group profile
NameSpecialtyState
N E P H R O L O G YMI
Internal MedicineMI
Nephrology, Internal MedicineMI
Family PracticeMI
Family PracticeMI
Nurse PractitionerMI
Internal MedicineMI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Internal MedicineMI
Nephrology, Internal MedicineMI

Reviews

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Frequently asked questions

What identifier follows NICOLE ANN KROSNICKI (NURSE PRACTITIONER) across health systems?
The NPI 1134539265 uniquely identifies NICOLE ANN KROSNICKI (NURSE PRACTITIONER) in U.S. healthcare data.
Does the public listing show NICOLE ANN KROSNICKI (NURSE PRACTITIONER) as active?
NICOLE ANN KROSNICKI (NURSE PRACTITIONER)'s NPI record reflects an active status in NPPES.
What type of care does NICOLE ANN KROSNICKI (NURSE PRACTITIONER) provide?
NICOLE ANN KROSNICKI (NURSE PRACTITIONER)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to NICOLE ANN KROSNICKI (NURSE PRACTITIONER)?
NICOLE ANN KROSNICKI (NURSE PRACTITIONER) shows a connection to Croswell, Michigan in registry-derived data.
Who maintains NICOLE ANN KROSNICKI (NURSE PRACTITIONER)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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