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

Individual provider Physician Assistant · NPI 1912397225

Nicole Grode, PA-C is a Physician Assistant in Caledonia, Michigan. Qualified in 2014, 12 years ago. Practices with Thornapple River Orthopedics PC, a 5-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2015
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

7169 Kalamazoo Ave SE Ste 100
Caledonia, MI 49316
Phone: (616) 266-9100
Fax: (616) 266-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 840 Cook Rd, Hastings, MI 49058-9616 — (269) 945-9520

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1912397225
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2015
Last updated in NPPESJuly 17, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Thornapple River Orthopedics Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Caledonia