NICOLE L HORNSBY CRNP
NPI 1124158118
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR, PHILADELPHIA, PA 19104(215) 615-4949 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole L Hornsby Crnp NPPES

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

NICOLE L HORNSBY CRNP (NPI 1124158118) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP007571) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1124158118
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE L HORNSBYCredential: CRNP
Location Address3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOORPhiladelphia, PA 19104-4306
Mailing Address3624 Market Street, Suite 560wPhiladelphia, PA 19104-2617 · (215) 662-3958
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 27, 2009
NPI 1124158118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in PA · SP007571
3400 CIVIC CENTER BOULEVARD, Philadelphia, PA 19104

Other Identifiers 1

Medicare UPINQ11064PA

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 L Hornsby 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 ID9032108550
PECOS Enrollment IDI20040511000866
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services18 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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 (Cardiovascular Disease)
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Hematology & Oncology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Internal Medicine (Medical Oncology)
3400 CIVIC CENTER BOULEVARD
PHILADELPHIA, PA 19104
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3400 CIVIC CENTER BOULEVARD, WEST PAVILION, 4TH FLOOR
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124158118, enumerated as an "individual" on March 07, 2007.

The provider is located at 3400 CIVIC CENTER BOULEVARD EAST PAVILION, 2ND FLOOR PHILADELPHIA, PA 19104 and the phone number is (215) 615-4949.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Nicole Hornsby is affiliated with: HOSPITAL OF UNIV OF PENNSYLVANIA.