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

Nicole Alexis Phillips, MD6/12

Individual provider Plastic Surgery Physician · NPI 1063771087

Nicole Alexis Phillips, MD6/12 is a Plastic and Reconstructive Surgery in Saint Joseph, Michigan. Graduated from University of Chicago, Pritzker School of Medicine in 2012, 14 years ago. Practices with Lakeland Medical Practices, a 287-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
MI
In the registry since
2012
Specialties on file
2

Practice location Address checks out

3901 Stonegate Park Ste 300
Saint Joseph, MI 49085-9136
Phone: (269) 556-6000
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 4301502412 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063771087
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD6/12
Sole proprietorNo
NPI enumeratedMay 10, 2012
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesHAND SURGERY
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Joseph