MRS. NICOLE L BLAAUW (PA-C) – Physician Assistant, NPI 1205811767

MRS. NICOLE L BLAAUW (PA-C) is a healthcare provider. based in Marquette, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601004570 (MI). The NPI Number for MRS. NICOLE L BLAAUW (PA-C) is 1205811767

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICOLE L BLAAUW (PA-C)
NPI
1205811767
Phone
(906) 225-3880
Address
1414 W FAIR AVE
Enumeration Date
7 December 2005
Last Update Date
2 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062253880
Graduation Year
2005 (21 years ago)
PAC ID
2961420013
Group Practice PAC ID
8527958073
Professional Enrollment ID
I20051107000829
Address ID
MI498555406MA1414XAVEX414
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Loading map...

Provider Addresses for MRS. NICOLE L BLAAUW (PA-C)

  • Eye Associates of Marquette, 1414, West Fair Avenue, Marquette, Marquette County, Michigan, 49855, United States

    STE. 247

    MARQUETTE, MI 498552675

    Phone: (906) 225-3880

    Fax: (906) 225-4523

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $1,052.

Total Amount is formed as General ($1,052) + Research ($0) + Ownership ($0) = $1,052.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($600).

Total Amount

$1,052

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,052

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2005-11-07

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
I20051107000829IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes8865$0
99213Established patient office or other outpatient visit, 20-29 minutes6361$0
99204New patient office or other outpatient visit, 45-59 minutes4040$0
View full utilization report →

Insurance plans in this area (ZIP 49855)

Loading plans...

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: 8527958073View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to MRS. NICOLE L BLAAUW (PA-C)?
NPI 1205811767 is assigned to MRS. NICOLE L BLAAUW (PA-C) under the national enumeration system.
Is MRS. NICOLE L BLAAUW (PA-C) currently active in the NPI registry?
CMS-published data lists MRS. NICOLE L BLAAUW (PA-C) as an active registrant.
What does MRS. NICOLE L BLAAUW (PA-C) treat or focus on?
Patients typically see MRS. NICOLE L BLAAUW (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MRS. NICOLE L BLAAUW (PA-C)?
We surface Marquette, Michigan for MRS. NICOLE L BLAAUW (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

MR. STEVEN M GUALDONI (PAC)

Physician Assistant
Upper Peninsula Medical Center, 1414, West Fair Avenue, Marquette, Marquette County, Michigan, 49855, United States
NPI: 1003800640

MS. TONI K BUCKBEE (PA)

Physician Assistant
PO BOX 220
NPI: 1952396285

MICHAEL D KREIS (PA)

Physician Assistant
Eye Associates of Marquette, 1414, West Fair Avenue, Marquette, Marquette County, Michigan, 49855, United States
NPI: 1679564710

JEFFREY A FIERSTINE (P.A.)

Physician Assistant
US Highway 41, Beverly Hills, Negaunee, Marquette County, Michigan, 49866, United States
NPI: 1124001771

ANTHONY N LACKEY (P.A.)

Physician Assistant
West Magnetic Street, Marquette, Marquette County, Michigan, 49855, United States
NPI: 1295718898

CAREY A ESPINOZA (PA)

Physician Assistant
420 W Magnetic St
NPI: 1508840950

BONNIE LOU KILPELA (P.A.)

Physician Assistant
Marquette General Hospital, 580, West College Avenue, Marquette, Marquette County, Michigan, 49855, United States
NPI: 1326022286
Carol Stream Police Department, Hiawatha Drive, Carol Stream, DuPage County, Illinois, 60188, United States
NPI: 1144208067