NICHOLAS BEAVER – Nurse Practitioner, NPI 1992349732

NICHOLAS BEAVER is a healthcare provider. based in Grand blanc, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704307518 (MI). The NPI Number for NICHOLAS BEAVER is 1992349732

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS BEAVER
NPI
1992349732
Phone
(810) 603-0170
Address
3399 POLLOCK RD STE A
Enumeration Date
5 November 2019
Last Update Date
5 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8108535875
Graduation Year
2019 (7 years ago)
PAC ID
8123453826
Group Practice PAC ID
0042453318
Professional Enrollment ID
I20200125000374
Address ID
MI484301584FE14165RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for NICHOLAS BEAVER

  • 3399 POLLOCK RD STE A

    GRAND BLANC, MI 484398395

    Phone: (810) 603-0170

    Mailing address matches the actual address.

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: 2020-01-25

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
I20200125000374INurse PractitionerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes269145$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes155103$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7974$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7556$0
99483Assessment of and care planning for patient with impaired thought processing, typically 60 minutes4948$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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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: 0042453318View full group profile

Reviews

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Frequently asked questions

What is the registry number for NICHOLAS BEAVER?
The registry entry for NICHOLAS BEAVER shows NPI 1992349732.
Is NICHOLAS BEAVER's NPI status active today?
Active status means NICHOLAS BEAVER's NPI record is not deactivated in the public file.
What services align with NICHOLAS BEAVER's listing?
NICHOLAS BEAVER's public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to NICHOLAS BEAVER?
The directory associates NICHOLAS BEAVER with Grand Blanc, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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