NICOLE BEEMER (PT) – Physical Therapist, NPI 1093374191

NICOLE BEEMER (PT) is a healthcare provider. based in Grand rapids, Michigan. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 5501019146 (MI). The NPI Number for NICOLE BEEMER (PT) is 1093374191

Main info

Female
Name
NICOLE BEEMER (PT)
NPI
1093374191
Phone
(616) 356-5000
Address
607 DEWEY AVE NW STE 300
Enumeration Date
12 June 2019
Last Update Date
5 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for NICOLE BEEMER (PT)

  • 607 DEWEY AVE NW STE 300

    GRAND RAPIDS, MI 495047335

    Phone: (616) 356-5000

    Type: Mailing

  • 1175, Wilson Avenue Northwest, Standale, Walker, Kent County, Michigan, 49534, United States

    WALKER, MI 495346407

    Phone: (616) 284-3686

    Type: Location

  • PO BOX 218

    MIDDLEVILLE, MI 493330218

    Phone: (269) 309-1090

    Fax: (269) 309-1092

    Type: Mailing

  • 2169 W M 43 HWY STE A

    HASTINGS, MI 490588578

    Phone: (269) 309-1090

    Fax: (269) 309-1092

    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: 2021-05-18

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
I20210518001583IPhysical Therapist In Private PracticeMITBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes34730$0
97140Therapy procedure using manual technique, each 15 minutes20526$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13726$0
97530Therapy procedure using functional activities6716$0
97161Evaluation for physical therapy, typically 20 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 49504)

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Reviews

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Frequently asked questions

What is the standard ID for NICOLE BEEMER (PT) in the U.S.?
In the U.S., NICOLE BEEMER (PT) is identified by NPI 1093374191.
Is NICOLE BEEMER (PT) currently accepting referrals based on NPI status?
Registry metadata lists NICOLE BEEMER (PT) as active.
What does the directory say NICOLE BEEMER (PT) does?
Insurance directories may phrase it differently, but here NICOLE BEEMER (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to NICOLE BEEMER (PT)?
The directory associates NICOLE BEEMER (PT) with Grand Rapids, Michigan. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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