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NICOLE RENAE CALDWELL CNP
NPI 1114266491
Nurse Practitioner - Adult Health in Cincinnati, OH

Active since February 07, 2013PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
234 GOODMAN ST, CINCINNATI, OH 45219(513) 475-8730 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Renae Caldwell Cnp NPPES

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

NICOLE RENAE CALDWELL CNP (NPI 1114266491) is an individual adult health provider in Cincinnati, Ohio, licensed in Ohio (COA. 13599-NP) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1114266491
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNICOLE RENAE CALDWELLCredential: CNP
Location Address234 GOODMAN STCincinnati, OH 45219-2364
Mailing Address2830 Victory PkwyCincinnati, OH 45206-1785
Phone(513) 475-8730
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 7, 2013
Last NPPES UpdateMarch 17, 2018
✔ NPI 1114266491 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. 13599-NP
234 GOODMAN ST, Cincinnati, OH 45219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance.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 Renae Caldwell 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 ID1759536527
PECOS Enrollment IDI20130227000574
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
95 services41 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$15.21 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$69.20 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.

ALEXANDER TOPALA MD
Anesthesiology
234 GOODMAN ST, MAIL LOCATION 0796
CINCINNATI, OH 45219
Hamilton County (513) 584-1000
MELISSA T WESLEY CRNA
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
DR. SAURABH CHANDRA MD
Internal Medicine (Critical Care Medicine)
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-1000
JOSEPH D PANDISCIA PA-C
Physician Assistant
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 475-8690
RACHEL BEAUPRE
Student in an Organized Health Care Education/Training Program
234 GOODMAN ST, THORACIC SURGERY
CINCINNATI, OH 45219
Hamilton County (513) 584-1387
KATIE DEAN
Nurse Anesthetist, Certified Registered
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
MICHELLE CHAPMAN
Anesthesiology
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 558-6356
KAYLA BERTKE
Pharmacist
234 GOODMAN ST
CINCINNATI, OH 45219
Hamilton County (513) 584-3468

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 Caldwell's NPI number?

The NPI number for Nicole Caldwell is 1114266491. It was assigned to this individual provider in the NPPES registry on February 7, 2013.

Where is Nicole Caldwell located?

Nicole Caldwell practices at 234 Goodman St, Cincinnati, OH 45219. The listed phone number is (513) 475-8730.

What is Nicole Caldwell's specialty?

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

Is Nicole Caldwell enrolled in Medicare?

Yes. Nicole Caldwell 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 Caldwell accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Nicole Caldwell 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 Caldwell affiliated with any hospitals?

According to CMS data, Nicole Caldwell is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Nicole Caldwell was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.