Nichole Chan, FNP-C - Medicare Nurse Practitioner in Detroit, MI

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Nichole Chan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Michigan. Her current practice location is 1 Ford Pl Ste 2c40, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 586-3230.

Nichole Chan is licensed to practice in Michigan (license number 4704254069) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972016913.

Contact Information

Nichole Chan, FNP-C
1 Ford Pl Ste 2c40,
Detroit, MI 48202-3450
(313) 586-3230
Not Available

Map and Direction




Provider's Profile

Full NameNichole Chan
GenderFemale
SpecialityNurse Practitioner - Family
Location1 Ford Pl Ste 2c40, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972016913
  • Provider Enumeration Date: 11/13/2017
  • Last Update Date: 08/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1759640022
  • Enrollment ID: I20180111002104

Medical Identifiers

Medical identifiers for Nichole Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972016913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704254069 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nichole Chan allows following entities to bill medicare on her behalf.
Entity NameHenry Ford Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104900455
PECOS PAC ID: 0547178311
Enrollment ID: O20031210000341
Entity NameNorthland Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386804060
PECOS PAC ID: 7719884741
Enrollment ID: O20040214000016
Entity NameTaylor Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013321033
PECOS PAC ID: 2769706381
Enrollment ID: O20150130000264
Entity NameBest Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952791105
PECOS PAC ID: 4082930722
Enrollment ID: O20150224001082
Entity NameTransitional Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174976807
PECOS PAC ID: 6709165954
Enrollment ID: O20161111000718
Entity NameYpsilanti Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881048494
PECOS PAC ID: 0244519809
Enrollment ID: O20161122002321
Entity NameCanton Urgent Care Walk-in Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649712480
PECOS PAC ID: 4486934452
Enrollment ID: O20161208001492
Entity NameSpringfield Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144747460
PECOS PAC ID: 3971869942
Enrollment ID: O20171107002040
Entity NameShelby Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285155119
PECOS PAC ID: 6800155417
Enrollment ID: O20180104001566
Entity NameTroy Urgent Care Walk In Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720571227
PECOS PAC ID: 5799039061
Enrollment ID: O20181127000377
Entity NameWest Park Medical Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538704218
PECOS PAC ID: 5890122519
Enrollment ID: O20200219000386
Entity NameDoctors Urgent Care Oakpark Southfield
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083239420
PECOS PAC ID: 9133543135
Enrollment ID: O20200623001665
Entity NameDoctors Urgent Care Southfield
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326660929
PECOS PAC ID: 6406279884
Enrollment ID: O20200701001810
Entity NameHenry Ford Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184389876
PECOS PAC ID: 6901296110
Enrollment ID: O20211202000908

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Chan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nichole Chan, FNP-C
1 Ford Pl Ste 2c40,
Detroit, MI 48202-3450

Ph: (313) 586-3230		Nichole Chan, FNP-C
1 Ford Pl Ste 2c40,
Detroit, MI 48202-3450

Ph: (313) 586-3230

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.