MR. NICHOLAS TRIPP LAZURKA ((PA-C)) – Psychiatry Physician, NPI 1225684202

MR. NICHOLAS TRIPP LAZURKA ((PA-C)) is a healthcare provider. based in Saginaw, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials (PA-C). They hold a License No. 5601009533 (MI). The NPI Number for MR. NICHOLAS TRIPP LAZURKA ((PA-C)) is 1225684202

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. NICHOLAS TRIPP LAZURKA ((PA-C))
NPI
1225684202
Phone
(989) 996-0566
Address
3085 HALLMARK CT STE 1
Enumeration Date
14 August 2019
Last Update Date
14 August 2019

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9893455571
Graduation Year
2019 (7 years ago)
PAC ID
7810228426
Group Practice PAC ID
2961485610
Professional Enrollment ID
I20191014000864
Address ID
MI486619251WE511XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MR. NICHOLAS TRIPP LAZURKA ((PA-C))

  • Hallmark Court, Saginaw Charter Township, Saginaw County, Michigan, 48603, United States

    SAGINAW, MI 486036803

    Phone: (989) 996-0566

    Type: Location

  • 3283 SCHUST RD APT 206

    SAGINAW, MI 486038102

    Phone: (810) 304-7879

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 152 Open Payments records for all available years, with a total value of $2,862.

Total Amount is formed as General ($2,862) + Research ($0) + Ownership ($0) = $2,862.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($485).

Total Amount

$2,862

General + Research + Ownership

Payments

152

Total payment records

General Amount

$2,862

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2019-10-14

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
I20191014000864IPhysician 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 minutes640152$0
99213Established patient office or other outpatient visit, 20-29 minutes21578$0
96372Injection of drug or substance under skin or into muscle13816$0
View full utilization report →

Insurance plans in this area (ZIP 48603)

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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: 2961485610View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMO
Physician AssistantMI
Clinical Social WorkerNY
Clinical Social WorkerMI
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What federal number belongs to MR. NICHOLAS TRIPP LAZURKA ((PA-C))?
The federal identifier for MR. NICHOLAS TRIPP LAZURKA ((PA-C)) is NPI 1225684202.
Is MR. NICHOLAS TRIPP LAZURKA ((PA-C))'s NPI currently valid?
The extract we use shows MR. NICHOLAS TRIPP LAZURKA ((PA-C)) as active.
Does MR. NICHOLAS TRIPP LAZURKA ((PA-C)) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for MR. NICHOLAS TRIPP LAZURKA ((PA-C)). Clinical services aligned with this taxonomy classification.
What location shows for MR. NICHOLAS TRIPP LAZURKA ((PA-C))?
We surface Saginaw, Michigan for MR. NICHOLAS TRIPP LAZURKA ((PA-C)) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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