NICOLE SUZANNE DEGRAFF (PA-C) – Physician Assistant, NPI 1891815411

NICOLE SUZANNE DEGRAFF (PA-C) is a healthcare provider. based in Battle creek, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601003945 (MI). The NPI Number for NICOLE SUZANNE DEGRAFF (PA-C) is 1891815411

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE SUZANNE DEGRAFF (PA-C)
NPI
1891815411
Phone
(269) 979-6333
Address
2845 CAPITAL AVE SW STE 302
Enumeration Date
29 March 2007
Last Update Date
12 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692455862
Graduation Year
2002 (24 years ago)
PAC ID
3779551148
Group Practice PAC ID
0547173478
Professional Enrollment ID
I20100513000446
Address ID
MI490173307BA300XXFLOO701
Telehealth
Yes

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for NICOLE SUZANNE DEGRAFF (PA-C)

  • 2845 CAPITAL AVE SW STE 302

    BATTLE CREEK, MI 490154187

    Phone: (269) 979-6333

    Type: Location

  • 295 JAMIE DR

    COLDWATER, MI 490368648

    Phone: (517) 227-4067

    Type: Mailing

  • 624 MENDON RD

    UNION CITY, MI 490948741

    Phone: (517) 741-7989

    Fax: (517) 741-7188

    Type: Location

  • 624 Mendon Rd

    Union City, MI 490948741

    Phone: (517) 741-7989

    Fax: (517) 741-7188

    Type: Location

  • 601 JOHN STREET

    BOX 42

    KALAMAZOO, MI 49007

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $1,051.

Total Amount is formed as General ($1,051) + Research ($0) + Ownership ($0) = $1,051.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Novo Nordisk Inc ($162).

Total Amount

$1,051

General + Research + Ownership

Payments

48

Total payment records

General Amount

$1,051

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2010-05-13

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
I20100513000446IPhysician 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.

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

Insurance plans in this area (ZIP 49015)

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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: 0547173478View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerMI
Clinical Social WorkerMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
Physician AssistantMI
-MI
Cardiovascular Disease (Cardiology)MI
Clinical Social WorkerMI
U R O L O G YMI

Reviews

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Frequently asked questions

How is NICOLE SUZANNE DEGRAFF (PA-C) identified in CMS data?
CMS-hosted NPPES data lists NICOLE SUZANNE DEGRAFF (PA-C) with NPI 1891815411.
Is NICOLE SUZANNE DEGRAFF (PA-C) listed as active for patients and plans?
The listing shows NICOLE SUZANNE DEGRAFF (PA-C) as active in the NPI system.
What is NICOLE SUZANNE DEGRAFF (PA-C)'s specialty?
The listing groups NICOLE SUZANNE DEGRAFF (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for NICOLE SUZANNE DEGRAFF (PA-C)?
NICOLE SUZANNE DEGRAFF (PA-C)'s geographic hint is Battle Creek, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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