NICOLE ELISABETH MCCULLOUGH (PA-C) – Medical Physician Assistant, NPI 1497388441
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for NICOLE ELISABETH MCCULLOUGH (PA-C)
15240 SILVER PKWY APT 301
FENTON, MI 484303487
Phone: (586) 488-8610
Type: Mailing
5296 GREENLEAF DR
SWARTZ CREEK, MI 484731165
Phone: (586) 488-8610
Type: Mailing
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: 2022-07-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220727002632 | I | Physician Assistant | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 260 | 24 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 116 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 79 | 24 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 74 | 52 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 64 | 13 | $0 |
Insurance plans in this area (ZIP 48430)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | GA | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI |
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