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NICOLE LEIGH POMEROY I NP-C
NPI 1003305178
Nurse Practitioner - Family in Punxsutawney, PA

Active since May 04, 2018PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767(814) 938-3550(814) 938-3679 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2019, May 4, 2018 (2 updates tracked since 2018).

About Nicole Leigh Pomeroy I Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LEIGH POMEROY I NP-C (NPI 1003305178) is an individual family provider in Punxsutawney, Pennsylvania, licensed in Pennsylvania (SP018805) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003305178
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE LEIGH POMEROY ICredential: NP-C
Location Address81 HILLCREST DRPunxsutawney, PA 15767-2605
Mailing Address81 Hillcrest DrPunxsutawney, PA 15767-2605 · (814) 938-3550 · Fax (814) 938-3679
Phone(814) 938-3550
Fax(814) 938-3679
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 4, 2018
Last NPPES UpdateSeptember 11, 20192 updates tracked since enumeration
✔ NPI 1003305178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP018805
Also ListedRegistered NurseTaxonomy 163W00000X · License RN616159 (PA)
81 HILLCREST DR, Punxsutawney, PA 15767
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Leigh Pomeroy I Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284979071
PECOS Enrollment IDI20200116002751
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services35 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390199
Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15767 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PUNXSUTAWNEY AREA HOSP EM MED FPA
General Acute Care Hospital
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Jefferson County (814) 938-1810
PUNXSUTAWNEY MEDICAL SERVICES - ANESTHESIA
Anesthesiology
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Jefferson County (814) 938-1810
MARILYN HENSE CRNA
Nurse Anesthetist, Certified Registered
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Jefferson County (814) 938-1800
MICHAEL EDWARD CHERIAN M.D.
Emergency Medicine
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Jefferson County (814) 938-1886
MORGAN A JANOCHA
Dietitian, Registered
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Jefferson County (814) 938-1886
PUNXSUTAWNEY HOSP CARD PHYS FPA
General Acute Care Hospital
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Jefferson County (814) 938-1810
MACY RAE WEIMER MOT, OTR/L
Occupational Therapist
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Jefferson County (814) 938-1809
MR. EMIL DIB MD
Obstetrics & Gynecology
81 HILLCREST DR, SUITE 2200
PUNXSUTAWNEY, PA 15767
Jefferson County (814) 938-3343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Pomeroy's NPI number?

The NPI number for Nicole Pomeroy is 1003305178. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Where is Nicole Pomeroy located?

Nicole Pomeroy practices at 81 Hillcrest Dr, Punxsutawney, PA 15767. The listed phone number is (814) 938-3550.

What is Nicole Pomeroy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Pomeroy enrolled in Medicare?

Yes. Nicole Pomeroy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Pomeroy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nicole Pomeroy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Pomeroy affiliated with any hospitals?

According to CMS data, Nicole Pomeroy is affiliated with Penn Highlands Dubois and Punxsutawney Area Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Pomeroy was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.