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

Individual provider Medical Physician Assistant · NPI 1174810667

Lori Sue Nieboer, PA-C is a Physician Assistant in Rockford, Michigan. Qualified in 2010, 16 years ago. Practices with Metropolitan Hospital, a 422-clinician group and accepts Medicare assignment. Licensed in Georgia and Michigan.

Years since qualifying
16
Licensed in
GA, MI
In the registry since
2011
Specialties on file
2
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

4685 Belding Rd NE
Rockford, MI 49341-9605
Phone: (616) 252-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601006254 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 006100 (GA)

Record details

NPI number1174810667
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 5, 2011
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Metropolitan Hospital — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients54
Services billed 95 a service is one billed item, such as a visit, a test or a procedure
Average patient age65

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Metropolitan Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 422 clinicians in the practice; 12 are shown here.

Other providers in Rockford