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MRS. CARLY ELIZABETH NICHOLAS CNP
NPI 1053791293
Nurse Practitioner - Family in Cincinnati, OH

Active since June 03, 2015PECOS EnrolledAccepts Medicare Assignment
7545 BEECHMONT AVE STE N, CINCINNATI, OH 45255(513) 232-0011(513) 232-8434 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Carly Elizabeth Nicholas Cnp NPPES

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

MRS. CARLY ELIZABETH NICHOLAS CNP (NPI 1053791293) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP17660) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053791293
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CARLY ELIZABETH NICHOLASCredential: CNP
Location Address7545 BEECHMONT AVE STE NCincinnati, OH 45255-4231
Mailing Address7545 Beechmont Ave Ste NCincinnati, OH 45255-4231 · (513) 232-0011 · Fax (513) 232-8434
Phone(513) 232-0011
Fax(513) 232-8434
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 3, 2015
Last NPPES UpdateOctober 8, 2019
✔ NPI 1053791293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP17660
7545 BEECHMONT AVE STE N, Cincinnati, OH 45255
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Carly Elizabeth Garman

Secondary Practice Locations 2

Location 124 Compton Rd Ste 205Cincinnati, OH 45216-1036 · Phone (513) 761-2776 · Fax (513) 679-4866
Location 28238 Princeton Glendale RdWest Chester, OH 45069-1675 · Phone (513) 454-1307

Other Identifiers 1

Medicaid0138769OH

Accepted Insurance

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

Mrs. Carly Elizabeth Nicholas Cnp 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 ID2769796713
PECOS Enrollment IDI20150804004783
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 5

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.
442 services215 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services61 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
62 services56 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
32 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45255 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers47 claims109 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers17 claims25 services$1.08 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$42.50 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$81.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NEWTON H BULLARD MD
Internal Medicine
7545 BEECHMONT AVE STE N
CINCINNATI, OH 45255
Hamilton County (513) 232-0011
MS. REBECCA B O'DER C.F.N.P.
Nurse Practitioner (Family)
7545 BEECHMONT AVE STE N
CINCINNATI, OH 45255
Hamilton County (513) 232-0011

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 Carly Nicholas's NPI number?

The NPI number for Carly Nicholas is 1053791293. It was assigned to this individual provider in the NPPES registry on June 3, 2015. The provider is also known as Ms. Carly Elizabeth Garman.

Where is Carly Nicholas located?

Carly Nicholas practices at 7545 Beechmont Ave Ste N, Cincinnati, OH 45255. The listed phone number is (513) 232-0011.

What is Carly Nicholas's specialty?

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

Is Carly Nicholas enrolled in Medicare?

Yes. Carly Nicholas 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 Carly Nicholas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Carly Nicholas 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 Carly Nicholas affiliated with any hospitals?

According to CMS data, Carly Nicholas is affiliated with Mercy Health-Anderson Hospital and Christ Hospital.

When was this NPI record last updated?

The NPPES record for Carly Nicholas was last updated on October 8, 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.