ALICIA CLARE NP
NPI 1154758472
Nurse Practitioner in Cincinnati, OH

Active since October 01, 2013PECOS EnrolledAccepts Medicare Assignment
74.9/100
CMS Quality Rating
4460 RED BANK RD, SUITE 200, CINCINNATI, OH 45227(513) 321-4333(513) 232-0100 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alicia Clare Np NPPES

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

ALICIA CLARE NP (NPI 1154758472) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (COA.15004-NP) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154758472
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALICIA CLARECredential: NP
Location Address4460 RED BANK RD, SUITE 200Cincinnati, OH 45227-2172
Mailing Address4460 Red Bank Rd, Suite 200Cincinnati, OH 45227-2172 · (513) 321-4333 · Fax (513) 232-0100
Fax(513) 232-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 1, 2013
Last NPPES UpdateFebruary 3, 2016
NPI 1154758472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · COA.15004-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4460 RED BANK RD, Cincinnati, OH 45227

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

Alicia Clare Np 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 ID7315175239
PECOS Enrollment IDI20140122000683, I20140707000129
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 7

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.
447 services229 patients
Injection, fulvestrant, 25 mg J9395
Fulvestrant is an injectable medication used to manage certain types of conditions. It works by blocking the effect of a natural substance in your body. The 25 mg dosage refers to the amount of active substance in each injection.
370 services12 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
236 services155 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.
108 services44 patients
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402
This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.
39 services13 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
27 services18 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45227 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.

74.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.39
Promoting Interoperability100
Improvement Activities40
Cost20.54

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
4460 RED BANK RD
CINCINNATI, OH 45227
Internal Medicine (Hematology & Oncology)
4460 RED BANK RD
CINCINNATI, OH 45227
Surgery
4460 RED BANK RD, SUITE 120
CINCINNATI, OH 45227
Internal Medicine (Hematology & Oncology)
4460 RED BANK RD, SUITE 200
CINCINNATI, OH 45227
Nurse Practitioner
4460 RED BANK RD, SUITE 200
CINCINNATI, OH 45227
Nurse Practitioner
4460 RED BANK RD, SUITE 200
CINCINNATI, OH 45227
Internal Medicine (Hematology & Oncology)
4460 RED BANK RD
CINCINNATI, OH 45227
Internal Medicine (Hematology & Oncology)
4460 RED BANK RD
CINCINNATI, OH 45227

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 Alicia Clare's NPI number?

The NPI number for Alicia Clare is 1154758472. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Alicia Clare located?

Alicia Clare practices at 4460 Red Bank Rd Suite 200, Cincinnati, OH 45227. The listed phone number is (513) 321-4333.

What is Alicia Clare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alicia Clare enrolled in Medicare?

Yes. Alicia Clare 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 Alicia Clare accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Alicia Clare 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 Alicia Clare affiliated with any hospitals?

According to CMS data, Alicia Clare is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Alicia Clare was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.