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NICHOLE A HUBBARD PA
NPI 1003813197
Physician Assistant - Medical in Oregon, OH

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
2751 BAY PARK DR STE 303, OREGON, OH 43616(419) 693-0711(419) 693-2320 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2024, Nov 3, 2023 (2 updates tracked since 2023).

About Nichole A Hubbard Pa NPPES

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

NICHOLE A HUBBARD PA (NPI 1003813197) is an individual medical provider in Oregon, Ohio, licensed in Ohio (50001377) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Bay Park Community Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1003813197
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICHOLE A HUBBARDCredential: PA
Location Address2751 BAY PARK DR STE 303Oregon, OH 43616-4922
Mailing Address100 Madison AveToledo, OH 43604-1516
Phone(419) 693-0711
Fax(419) 693-2320
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 5, 2005
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1003813197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 50001377
2751 BAY PARK DR STE 303, Oregon, OH 43616
Open in Google Maps ↗

Other Names 1

Former Name (1)Nichole Ann Bergman Pa

Other Identifiers 1

Medicaid0067932OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, CareSource, MedMutual and more.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

Nichole A Hubbard Pa 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 ID7911896113
PECOS Enrollment IDI20040315000692
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.

Hospital Affiliations CMS Care Compare

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

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

KATELYN OOSTRA MD
Pediatrics
2751 BAY PARK DR STE 303
OREGON, OH 43616
Lucas County (419) 690-7676
ASHLEY ANN MUSZYNSKI
Pediatrics
2751 BAY PARK DR STE 303
OREGON, OH 43616
Lucas County (419) 690-7676

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 Nichole Hubbard's NPI number?

The NPI number for Nichole Hubbard is 1003813197. It was assigned to this individual provider in the NPPES registry on July 5, 2005. The provider is also known as Nichole Ann Bergman PA.

Where is Nichole Hubbard located?

Nichole Hubbard practices at 2751 Bay Park Dr Ste 303, Oregon, OH 43616. The listed phone number is (419) 693-0711.

What is Nichole Hubbard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nichole Hubbard enrolled in Medicare?

Yes. Nichole Hubbard 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 Nichole Hubbard accept?

Health plans from Blue Care Network of Michigan, CareSource, MedMutual and Priority Health list Nichole Hubbard 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 Nichole Hubbard affiliated with any hospitals?

According to CMS data, Nichole Hubbard is affiliated with Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Nichole Hubbard was last updated on July 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.