REBECCA JO NIELSEN (NP) – Nurse Practitioner, NPI 1912515586
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for REBECCA JO NIELSEN (NP)
801 ROSEHILL RD
JACKSON, MI 492021762
Phone: (517) 212-2008
Fax: (517) 212-9023
Type: Mailing
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 495468602
Phone: (616) 272-3533
Fax: (616) 259-4839
Type: Location
1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 605270864
Phone: (248) 824-6600
Fax: (855) 618-6655
Type: Location
45 JENNY PL SW
GRANDVILLE, MI 494182181
Phone: (269) 426-1143
Type: Mailing
530 LINN ST
ALLEGAN, MI 490101562
Phone: (269) 686-8659
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: 2020-10-14
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 |
|---|---|---|---|---|
| I20201014002022 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 225 | 155 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 74 | 61 | $0 |
| G0008 | Administration of influenza virus vaccine | 55 | 55 | $0 |
| 90674 | Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 54 | 54 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 32 | 32 | $0 |
Insurance plans in this area (ZIP 49202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | IL |
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