JONATHON K NICHOLSON (MD) – Pediatrics Physician, NPI 1538167572
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,710 PEDIATRIC MEDICINE in OH
Provider Addresses for JONATHON K NICHOLSON (MD)
Alpena Regional Medical Center, 1501, West Chisholm Street, Alpena, Alpena County, Michigan, 49707, United States
ALPENA, MI 497071401
Phone: (989) 356-5241
Fax: (989) 356-8132
Type: Mailing
1400 E 2ND ST STE 100
DEFIANCE, OH 435129905
Phone: (419) 783-3226
Fax: (989) 356-8132
Type: Mailing
Long Rapids Road, Long Rapids, Long Rapids Township, Alpena County, Michigan, 49707, United States
ALPENA, MI 497071317
Phone: (989) 356-0504
Fax: (989) 356-6981
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: 2025-12-16
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 |
|---|---|---|---|---|
| I20180313001230 | I | Family Practice | MI | TBD |
| I20230224001023 | I | Pediatric Medicine | OH | TBD |
| I20251216002668 | I | Pediatric Medicine | TX | 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 49707)
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