NICOLE LIPPERT – Clinical Social Worker, NPI 1104475680

NICOLE LIPPERT is a healthcare provider. based in Montague, Michigan. specializing in Clinical Social Worker. They hold a License No. 6801100189 (MI). The NPI Number for NICOLE LIPPERT is 1104475680

Main info

Female
Sole Proprietor
Name
NICOLE LIPPERT
NPI
1104475680
Phone
(616) 204-2366
Address
8716 MEADE ST
Enumeration Date
8 September 2019
Last Update Date
8 September 2019
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

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Provider Addresses for NICOLE LIPPERT

  • 8716, Meade Street, Montague, Muskegon County, Michigan, 49437, United States

    MONTAGUE, MI 494371332

    Phone: (616) 204-2366

    Type: Mailing

  • East Colby Street, Whitehall, Muskegon County, Michigan, 49461, United States

    WHITEHALL, MI 494611209

    Phone: (616) 204-2366

    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: 2024-11-23

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
I20241123000133IClinical Social WorkerMITBD

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 49437)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for NICOLE LIPPERT?
NICOLE LIPPERT — NPI 1104475680 — is the standard way to identify this listing.
Does the file indicate NICOLE LIPPERT is practicing under active NPI?
Directory data currently reports NICOLE LIPPERT as active.
What healthcare role does NICOLE LIPPERT hold?
Scheduling teams often label NICOLE LIPPERT under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for NICOLE LIPPERT?
NICOLE LIPPERT's geographic hint is Montague, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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