NICOLE MASSEY (PA-C) – Physician Assistant, NPI 1588049639

NICOLE MASSEY (PA-C) is a healthcare provider. based in Novi, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0010-13779 (NC). The NPI Number for NICOLE MASSEY (PA-C) is 1588049639

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MASSEY (PA-C)
NPI
1588049639
Phone
(248) 465-4311
Address
47601 Grand River Ave
Enumeration Date
29 July 2015
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9196848111
Graduation Year
2015 (11 years ago)
PAC ID
6406166941
Group Practice PAC ID
8325412737
Professional Enrollment ID
I20240730004016
Address ID
NC277104000DU40XXXCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for NICOLE MASSEY (PA-C)

  • 47601 Grand River Ave

    Novi, MI 483741233

    Phone: (248) 465-4311

    Fax: (248) 465-4651

    Type: Location

  • 1109 CELINA CT

    CANTON, MI 481875001

    Phone: (248) 219-6370

    Type: Mailing

  • 40 DUKE MEDICINE CIR

    DURHAM, NC 277105001

    Phone: (248) 465-3120

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $1,178.

Total Amount is formed as General ($1,178) + Research ($0) + Ownership ($0) = $1,178.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,152).

Total Amount

$1,178

General + Research + Ownership

Payments

6

Total payment records

General Amount

$1,178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

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: 2024-07-30

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
I20240730004016IPhysician AssistantNCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48374)

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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: 8325412737View full group profile
NameSpecialtyState
N E U R O L O G YAL
Diagnostic RadiologyFL
Certified Registered Nurse Anesthetist (Crna)NC
Hematology, PathologyNC
Infectious DiseaseNC
O B S T E T R I C S/ G Y N E C O L O G YNC
Physician AssistantTX
Rheumatology, Internal MedicineNC
Pediatric MedicineNC
O P H T H A L M O L O G YNC

Reviews

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Frequently asked questions

Can I use this page to confirm NICOLE MASSEY (PA-C)'s NPI?
Yes. NICOLE MASSEY (PA-C) is listed with NPI 1588049639 in the public NPI dataset.
Does CMS list NICOLE MASSEY (PA-C) as active?
Yes — NICOLE MASSEY (PA-C) is active in the NPI listing used on this page.
What is NICOLE MASSEY (PA-C)'s primary classification?
Physician Assistant is the headline specialty for NICOLE MASSEY (PA-C) here. Clinical services aligned with this taxonomy classification.
What area does NICOLE MASSEY (PA-C) serve?
NICOLE MASSEY (PA-C)'s listing highlights Novi, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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