NICOLE ANNE MCFALL NP-C
NPI 1023347168
Nurse Practitioner - Adult Health in Cleveland, OH

Active since December 21, 2009PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-3722 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Anne Mcfall Np-c NPPES

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

NICOLE ANNE MCFALL NP-C (NPI 1023347168) is an individual adult health provider in Cleveland, Ohio, licensed in Ohio (COA.11239-NP) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1023347168
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNICOLE ANNE MCFALLCredential: NP-C
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address3605 Warrensville Center Rd, 1st FloorShaker Hts, OH 44122-5203 · (216) 286-6260 · Fax (216) 286-6341
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 21, 2009
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
NPI 1023347168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OH · COA.11239-NP
11100 EUCLID AVE, Cleveland, OH 44106

Other Identifiers 1

Medicaid3016300OH

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 Anne Mcfall 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 ID3274676937
PECOS Enrollment IDI20100203000160
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 4

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients
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.
25 services23 patients
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.
24 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

Nurse Anesthetist, Certified Registered
11100 EUCLID AVE
CLEVELAND, OH 44106
Radiology (Radiation Oncology)
11100 EUCLID AVE
CLEVELAND, OH 44106
Pediatrics (Pediatric Hematology-Oncology)
11100 EUCLID AVE, BOLWELL 6TH FLOOR
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiologist Assistant
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology (Critical Care Medicine)
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Nurse Anesthetist, Certified Registered
11100 EUCLID AVE
CLEVELAND, OH 44106

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 Mcfall's NPI number?

The NPI number for Nicole Mcfall is 1023347168. It was assigned to this individual provider in the NPPES registry on December 21, 2009.

Where is Nicole Mcfall located?

Nicole Mcfall practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-3722.

What is Nicole Mcfall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Nicole Mcfall enrolled in Medicare?

Yes. Nicole Mcfall 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.

Is Nicole Mcfall affiliated with any hospitals?

According to CMS data, Nicole Mcfall is affiliated with Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Nicole Mcfall was last updated on October 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.