Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole L Blaauw, PA-C

Individual provider Physician Assistant · NPI 1205811767

Mrs. Nicole L Blaauw, PA-C is a Physician Assistant in Marquette, Michigan. Qualified in 2005, 21 years ago. Practices with U.p. Digestive Disease Associates PC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1414 W Fair Ave Ste 247
Marquette, MI 49855-2675
Phone: (906) 225-3880
Fax: (906) 225-4523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004570 (MI)

Record details

NPI number1205811767
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESNovember 2, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice U.P. Digestive Disease Associates. P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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