Doctor profile · Federal record
Dr. Nicole Kanomata, FNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Manistee, MI
- NPI 1366165102
- Accepts Medicare
- 4 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1465 E Parkdale Ave
Manistee, MI 496609709
(231) 876-6421
fax (231) 876-6430 - Additional location
-
217 S Madison St
Traverse City, MI 496842321
(231) 392-8400
fax (231) 392-8467 - Additional location
-
400 Hobart St
Cadillac, MI 496012331 - Mailing address
-
1105 Sixth St
Traverse City, MI 496842386
Credentials & registration
- NPI registered
- September 2022 — 4 yrs on file
- Profile last updated
- January 15, 2025
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Michigan #F10220404
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366165102. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
76
Distinct HCPCS
4
Medicare allowed
$10,383
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99349 |
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 25 | 15 | $107 | |
99350 |
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 25 | 17 | $158 | |
99344 |
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 13 | 13 | $119 | |
99345 |
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 13 | 13 | $171 |
In context: peer comparison
Among 3 peers in Manistee Family Nurse Practitioner, average services per provider: 41. This provider delivers 1.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
84
Patients
11
Total drug cost
$1,958
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 30 | 0 | $1,129 |
| Oxycodone Hcl | Generic | 17 | 11 | $395 |
| Methadone Hcl | Generic | 15 | 0 | $197 |
| Ondansetron Odt (Ondansetron) | Brand | 11 | 0 | $131 |
| Quetiapine Fumarate | Generic | 11 | 0 | $106 |
Frequently asked questions
What is Dr. Nicole Kanomata's medical specialty?
Dr. Nicole Kanomata practices Family Nurse Practitioner in Manistee, MI.
Where does Dr. Nicole Kanomata practice?
Dr. Nicole Kanomata practices at 1465 E Parkdale Ave, Manistee, MI 496609709. Office phone: 2318766421.
What is Dr. Nicole Kanomata's NPI?
Dr. Nicole Kanomata's National Provider Identifier (NPI) is 1366165102, issued by NPPES.
Does Dr. Nicole Kanomata accept Medicare assignment?
Yes. Dr. Nicole Kanomata accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicole Kanomata commonly perform?
Top Medicare-reported procedures in 2023: Residence visit for established patient with moderate level of medical decision making (HCPCS 99349); Residence visit for established patient with high level of medical decision making (HCPCS 99350); Residence visit for new patient with moderate level of medical decision making (HCPCS 99344). Source: CMS Medicare Physician & Other Practitioners file.