NICOLE JENNIFER GALLIMORE
NPI 1134876121
Nurse Practitioner - Psychiatric/Mental Health in Kent, OH

Active since March 09, 2022PECOS EnrolledAccepts Medicare Assignment
5982 RHODES RD, KENT, OH 44240(330) 673-1347 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Jennifer Gallimore NPPES

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

NICOLE JENNIFER GALLIMORE (NPI 1134876121) is an individual psychiatric/mental health provider in Kent, Ohio, licensed in Ohio (APRN.CNP.0030872) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kent, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1134876121
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE JENNIFER GALLIMORE
Location Address5982 RHODES RDKent, OH 44240-8100
Mailing Address5982 Rhodes RdKent, OH 44240-8100 · (330) 673-1347
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 9, 2022
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1134876121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0030872
5982 RHODES RD, Kent, OH 44240

Secondary Practice Location 1

Location 15982 Rhodes RdKent, OH 44240-8100 · Phone (330) 673-1347

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Jennifer Gallimore 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 ID4880080092
PECOS Enrollment IDI20220414001671
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicole Gallimore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
5982 RHODES RD
Kent, OH 44240
  • Reassigned Medicare billing, Ohio enrollment
  • 187 clinicians in this Medicare group
Addiction (Substance Use Disorder)
143 GOUGLER AVENUE
Kent, OH 44240
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
11369 MARKET ST
North Lima, OH 44452
  • Reassigned Medicare billing, Ohio enrollment
  • 16 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44240 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.

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.

Social Worker
5982 RHODES RD
KENT, OH 44240
Nurse Practitioner (Psychiatric/Mental Health)
5982 RHODES RD
KENT, OH 44240
Case Manager/Care Coordinator
5982 RHODES RD
KENT, OH 44240
Case Manager/Care Coordinator
5982 RHODES RD
KENT, OH 44240
Case Manager/Care Coordinator
5982 RHODES RD
KENT, OH 44240
Case Manager/Care Coordinator
5982 RHODES RD
KENT, OH 44240
Peer Specialist
5982 RHODES RD
KENT, OH 44240
Case Manager/Care Coordinator
5982 RHODES RD
KENT, OH 44240

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 Gallimore's NPI number?

The NPI number for Nicole Gallimore is 1134876121. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Where is Nicole Gallimore located?

Nicole Gallimore practices at 5982 Rhodes Rd, Kent, OH 44240. The listed phone number is (330) 673-1347.

What is Nicole Gallimore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Gallimore enrolled in Medicare?

Yes. Nicole Gallimore 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.

Which organizations bill Medicare for Nicole Gallimore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Gallimore reassigns Medicare benefits to 3 organizations: Coleman Professional Services, Inc. (Kent, OH), Family & Community Services, Inc (Kent, OH) and Serenity Center Of Youngstown, LLC (North Lima, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Gallimore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Gallimore accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Nicole Gallimore 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 Gallimore was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.