NICOLE FREMAREK (DO, MBA) – Sports Medicine (Family Medicine) Physician, NPI 1417410705
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,418 FAMILY PRACTICE in MI
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Provider Addresses for NICOLE FREMAREK (DO, MBA)
Metro Health Hospital, 5900, Byron Center Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States
WYOMING, MI 495199686
Phone: (616) 252-7200
Fax: (616) 252-4953
Type: Mailing
11340 Nall Ave Ste 200
Overland Park, KS 662111234
Phone: (816) 525-2840
Fax: (816) 525-2841
Type: Location
1750 INDEPENDENCE AVE
KANSAS CITY, MO 641061453
Phone: (816) 654-7000
Type: Mailing
2861 NE INDEPENDENCE AVE STE 201
LEES SUMMIT, MO 640642379
Phone: (816) 525-2840
Fax: (816) 525-2841
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230717002988 | I | Osteopathic Manipulative Medicine | VA | TBD |
| I20241204001997 | I | Family Practice | KS | TBD |
| I20241204002155 | I | Family Practice | MO | TBD |
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.
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 49519)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | KS | |
| Orthopedic Surgery | MO | |
| Physician Assistant | MO | |
| Physician Assistant | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| General Surgery | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO |
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