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NICOLE BUCKINGHAM APRN-CNP
NPI 1053906156
Nurse Practitioner - Gerontology in Beavercreek, OH

Active since March 02, 2021PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
3535 PENTAGON BLVD STE 400, BEAVERCREEK, OH 45431(855) 500-2873(937) 490-2267 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2021, Mar 2, 2021 (2 updates tracked since 2021).

About Nicole Buckingham Aprn-cnp NPPES

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

NICOLE BUCKINGHAM APRN-CNP (NPI 1053906156) is an individual gerontology provider in Beavercreek, Ohio, licensed in Ohio (APRN.CNP.0028465) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1053906156
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE BUCKINGHAMCredential: APRN-CNP
Location Address3535 PENTAGON BLVD STE 400Beavercreek, OH 45431-1705
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(855) 500-2873
Fax(937) 490-2267
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2020
Enumeration DateMarch 2, 2021
Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration
NPPES CertifiedDecember 19, 2023
✔ NPI 1053906156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OH · APRN.CNP.0028465
Also ListedClinical Nurse Specialist · OncologyTaxonomy 364SX0200X · License APRN.CNP.0028465 (OH)
3535 PENTAGON BLVD STE 400, Beavercreek, OH 45431
Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 W Main St Ste 103Troy, OH 45373-3384 · Phone (855) 500-2873

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

Nicole Buckingham Aprn-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 ID2961818422
PECOS Enrollment IDI20210308001336
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.

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.
54 services40 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.
18 services17 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.
18 services17 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.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45431 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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Other Providers at the Same Location NPPES 5

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

GLEN PAPAIOANNOU MD
Internal Medicine (Medical Oncology)
3535 PENTAGON BLVD STE 400
BEAVERCREEK, OH 45431
Greene County (374) 902-2649
MICHAELA MARIE FRITSON PA-C
Physician Assistant
3535 PENTAGON BLVD STE 400
BEAVERCREEK, OH 45431
Greene County (855) 500-2873
KATHLEEN J OXNER M.D.
Internal Medicine (Hematology)
3535 PENTAGON BLVD STE 400
BEAVERCREEK, OH 45431
Greene County (937) 490-2264
COMPUNET CLINICAL LABORATORIES, LLC
Clinical Medical Laboratory
3535 PENTAGON BLVD STE 400
BEAVERCREEK, OH 45431
Greene County (937) 296-0844
ZION O OSHIKANLU MD
Internal Medicine (Hematology & Oncology)
3535 PENTAGON BLVD STE 400
BEAVERCREEK, OH 45431
Greene County (937) 490-2264

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 Buckingham's NPI number?

The NPI number for Nicole Buckingham is 1053906156. It was assigned to this individual provider in the NPPES registry on March 2, 2021.

Where is Nicole Buckingham located?

Nicole Buckingham practices at 3535 Pentagon Blvd Ste 400, Beavercreek, OH 45431. The listed phone number is (855) 500-2873.

What is Nicole Buckingham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Buckingham enrolled in Medicare?

Yes. Nicole Buckingham 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 Buckingham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Nicole Buckingham 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 Buckingham affiliated with any hospitals?

According to CMS data, Nicole Buckingham is affiliated with Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Buckingham was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.