Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Nieusma, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780096826

Holly Nieusma, DO is a Family Practice in Holt, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2014, 12 years ago. Practices with Powerback Rehabilitation LLC, a 616-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4378 Holt Rd
Holt, MI 48842-1634
Phone: (517) 694-1466
Fax: (517) 694-3530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 205 N East Ave, Jackson, MI 49201-1753 — (517) 788-4800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101021021 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5101021021 (MI)

Record details

NPI number1780096826
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 23, 2014
Last updated in NPPESApril 18, 2018
Mailing address4378 Holt Rd, Holt, MI 48842-1634

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Powerback Rehabilitation Llc — 616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Holt