NICOLE LEIGH NEWINGHAM CRNP
NPI 1063833887
Nurse Practitioner - Family in Pittsburgh, PA

Active since December 20, 2013PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3601 5TH AVE, PITTSBURGH, PA 15213(412) 586-9700 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Nicole Leigh Newingham Crnp NPPES

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

NICOLE LEIGH NEWINGHAM CRNP (NPI 1063833887) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP013301) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063833887
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE LEIGH NEWINGHAMCredential: CRNP
Location Address3601 5TH AVEPittsburgh, PA 15213-3403
Mailing Address3601 5th Ave Ste 3bPittsburgh, PA 15213-3403 · (412) 586-9700
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 20, 2013
Last NPPES UpdateJanuary 11, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
NPI 1063833887 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 PA · SP013301
3601 5TH AVE, Pittsburgh, PA 15213

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 Newingham Crnp 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 ID4284938929
PECOS Enrollment IDI20160824000066
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 2

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.
62 services50 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.
46 services39 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 3

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
13 suppliers38 claims144 services$6.00 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims13 services$0.95 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers62 claims62 services$186.66 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 20

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

Internal Medicine (Rheumatology)
3601 5TH AVE, SUITE 3B FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Internal Medicine
3601 5TH AVE, SUITE 3A
PITTSBURGH, PA 15213
Physician Assistant
3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3601 5TH AVE
PITTSBURGH, PA 15213
Specialist
3601 5TH AVE, 610 FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Pharmacist (Pharmacotherapy)
3601 5TH AVE, FALK MEDICAL BLDG., SUITE 3A
PITTSBURGH, PA 15213
Dietitian, Registered
3601 5TH AVE, STE 1-B, ROOM 145-B
PITTSBURGH, PA 15213
Specialist
3601 5TH AVE, SUITE 5A FALK MEDICAL BUILDING
PITTSBURGH, PA 15213

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 Newingham's NPI number?

The NPI number for Nicole Newingham is 1063833887. It was assigned to this individual provider in the NPPES registry on December 20, 2013.

Where is Nicole Newingham located?

Nicole Newingham practices at 3601 5th Ave, Pittsburgh, PA 15213. The listed phone number is (412) 586-9700.

What is Nicole Newingham's specialty?

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

Is Nicole Newingham enrolled in Medicare?

Yes. Nicole Newingham 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 Newingham affiliated with any hospitals?

According to CMS data, Nicole Newingham is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Nicole Newingham was last updated on January 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.