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MRS. ERIN MARIE NICHOLSON CRNP
NPI 1164972725
Nurse Practitioner - Family in Pittsburgh, PA

Active since October 07, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
2 HOT METAL ST, PITTSBURGH, PA 15203(412) 432-7400 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Erin Marie Nicholson Crnp NPPES

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

MRS. ERIN MARIE NICHOLSON CRNP (NPI 1164972725) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP016623) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and maintains a secondary practice location in Connellsville.

NPPES Registry Identity

NPI1164972725
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ERIN MARIE NICHOLSONCredential: CRNP
Location Address2 HOT METAL STPittsburgh, PA 15203-2348
Mailing Address2 Hot Metal StPittsburgh, PA 15203-2348 · (412) 432-7400
Phone(412) 432-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 7, 2016
Last NPPES UpdateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
✔ NPI 1164972725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP016623
2 HOT METAL ST, Pittsburgh, PA 15203
Open in Google Maps ↗

Secondary Practice Location 1

Location 11440 Morrell AveConnellsville, PA 15425-3809 · Phone (724) 626-1347

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Mrs. Erin Marie Nicholson 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 ID9133401821
PECOS Enrollment IDI20170112000976
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.
72 services71 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
45 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services27 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services21 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
15 services15 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15203 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%50 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%1,626 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%221 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%1,530 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 237 patients
Patients totalRate: 0% · 237 patients
0%237 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. MICHAEL MIHOK MD
Emergency Medicine
2 HOT METAL ST, ERMI QUANTUM ONE
PITTSBURGH, PA 15203
Allegheny County (412) 432-7424
MELISSA GENTILCORE MS, NCC
Counselor (Professional)
2 HOT METAL ST
PITTSBURGH, PA 15203
Allegheny County (412) 235-5343
MS. CATHERINE CONVERY PA
Physician Assistant
2 HOT METAL ST, ERMI QUANTUM ONE
PITTSBURGH, PA 15203
Allegheny County (412) 432-7424
DR. MICHAEL GINSBURG MD
Emergency Medicine
2 HOT METAL ST, ERMI QUANTUM ONE
PITTSBURGH, PA 15203
Allegheny County (412) 432-7424
MACAIAH THAXTON
Social Worker
2 HOT METAL ST
PITTSBURGH, PA 15203
Allegheny County (412) 235-5497
SUZANNE ATKINSON
Emergency Medicine
2 HOT METAL ST, ERMI QUANTUM ONE
PITTSBURGH, PA 15203
Allegheny County (412) 432-7424
DR. REYNALDO CAROLIPIO MD
Emergency Medicine
2 HOT METAL ST, ERMI QUANTUM ONE
PITTSBURGH, PA 15203
Allegheny County (412) 432-7424
DR. DAVID SARKNAS DO
Emergency Medicine
2 HOT METAL ST, ERMI QUANTUM ONE
PITTSBURGH, PA 15203
Allegheny County (412) 432-7424

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 Erin Nicholson's NPI number?

The NPI number for Erin Nicholson is 1164972725. It was assigned to this individual provider in the NPPES registry on October 7, 2016.

Where is Erin Nicholson located?

Erin Nicholson practices at 2 Hot Metal St, Pittsburgh, PA 15203. The listed phone number is (412) 432-7400.

What is Erin Nicholson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erin Nicholson enrolled in Medicare?

Yes. Erin Nicholson 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 Erin Nicholson accept?

Health plans from CareSource and Molina Healthcare list Erin Nicholson 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 Erin Nicholson affiliated with any hospitals?

According to CMS data, Erin Nicholson is affiliated with Uniontown Hospital.

When was this NPI record last updated?

The NPPES record for Erin Nicholson was last updated on September 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.