NICOLE NICHELLE KOENIGSHOF (MSPT) – Community Health Worker, NPI 1760664783

NICOLE NICHELLE KOENIGSHOF (MSPT) is a healthcare provider. based in Niles, Michigan. specializing in Community Health Worker. They hold the professional credentials MSPT. They hold a License No. 05011693A (IN). The NPI Number for NICOLE NICHELLE KOENIGSHOF (MSPT) is 1760664783

Main info

Female
Sole Proprietor
Name
NICOLE NICHELLE KOENIGSHOF (MSPT)
NPI
1760664783
Phone
(269) 362-1482
Address
321 E MAIN ST
Enumeration Date
30 November 2007
Last Update Date
8 January 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for NICOLE NICHELLE KOENIGSHOF (MSPT)

  • 321, East Main Street, Niles, Berrien County, Michigan, 49120, United States

    SUITE B

    NILES, MI 491202305

    Phone: (269) 362-1482

    Fax: (269) 687-9120

    Type: Mailing

  • 4251 LAHMEYER RD

    FORT WAYNE, IN 468155676

    Phone: (260) 482-7800

    Fax: (260) 484-0273

    Type: Mailing

  • 624 W LINCOLN AVE

    GOSHEN, IN 465262416

    Phone: (574) 931-2801

    Fax: (574) 971-8569

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 49120)

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Reviews

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Frequently asked questions

What is the registry number for NICOLE NICHELLE KOENIGSHOF (MSPT)?
The registry entry for NICOLE NICHELLE KOENIGSHOF (MSPT) shows NPI 1760664783.
Is NICOLE NICHELLE KOENIGSHOF (MSPT) currently accepting referrals based on NPI status?
Registry metadata lists NICOLE NICHELLE KOENIGSHOF (MSPT) as active.
How should patients interpret NICOLE NICHELLE KOENIGSHOF (MSPT)'s specialty?
The extract shows Community Health Worker for NICOLE NICHELLE KOENIGSHOF (MSPT). Clinical services aligned with this taxonomy classification.
What city is tied to NICOLE NICHELLE KOENIGSHOF (MSPT)?
The directory associates NICOLE NICHELLE KOENIGSHOF (MSPT) with Niles, Michigan. Check all listed addresses for suites or satellite offices.
Who maintains NICOLE NICHELLE KOENIGSHOF (MSPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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