NICOLE MARIE POTHAST MSN, CNM
NPI 1104376219
Advanced Practice Midwife in Bryan, OH

Active since October 12, 2016PECOS EnrolledAccepts Medicare Assignment
433 W HIGH ST, BRYAN, OH 43506(419) 636-1131(419) 636-3100 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2020, Mar 30, 2020, Mar 5, 2018 and 3 more (6 updates tracked since 2016).

About Nicole Marie Pothast Msn, Cnm NPPES

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

NICOLE MARIE POTHAST MSN, CNM (NPI 1104376219) is an individual advanced practice midwife in Bryan, Ohio, licensed in Ohio (019332) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104376219
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameNICOLE MARIE POTHASTCredential: MSN, CNM
Location Address433 W HIGH STBryan, OH 43506-1690
Mailing Address433 W High StBryan, OH 43506-1690 · (419) 636-5414 · Fax (419) 636-3100
Fax(419) 636-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 12, 2016
Last NPPES UpdateApril 8, 20206 updates tracked since enumeration
NPPES CertifiedApril 8, 2020
NPI 1104376219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses Licensed in OH · 019332 Licensed in IN · 71006654
Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

433 W HIGH ST, Bryan, OH 43506

Accepted 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 Marie Pothast Msn, Cnm 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 ID3072891670
PECOS Enrollment IDI20170815003258
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43506 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Speech-Language Pathologist
433 W HIGH ST
BRYAN, OH 43506
Emergency Medicine
433 W HIGH ST
BRYAN, OH 43506
Family Medicine
433 W HIGH ST
BRYAN, OH 43506
Nurse Practitioner
433 W HIGH ST
BRYAN, OH 43506
Nurse Anesthetist, Certified Registered
433 W HIGH ST
BRYAN, OH 43506
Nurse Anesthetist, Certified Registered
433 W HIGH ST
BRYAN, OH 43506
Radiology (Diagnostic Radiology)
433 W HIGH ST
BRYAN, OH 43506
Internal Medicine (Gastroenterology)
433 W HIGH ST
BRYAN, OH 43506

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 Pothast's NPI number?

The NPI number for Nicole Pothast is 1104376219. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Nicole Pothast located?

Nicole Pothast practices at 433 W High St, Bryan, OH 43506. The listed phone number is (419) 636-1131.

What is Nicole Pothast's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Nicole Pothast enrolled in Medicare?

Yes. Nicole Pothast 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 Pothast accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Nicole Pothast 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.

When was this NPI record last updated?

The NPPES record for Nicole Pothast was last updated on April 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.