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MS. NICOLE KATHERINE BRANDSTRUP PC-PROV, ATR-BC
NPI 1174893267
Counselor - Professional in Toledo, OH

Active since January 05, 2012PECOS EnrolledAccepts Medicare Assignment
3130 EXECUTIVE PKWY FL 8, TOLEDO, OH 43606(419) 720-9000(419) 720-9002 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Nicole Katherine Brandstrup Pc-prov, Atr-bc NPPES

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

MS. NICOLE KATHERINE BRANDSTRUP PC-PROV, ATR-BC (NPI 1174893267) is an individual professional provider in Toledo, Ohio, licensed in Ohio (C.1000106.PROV.) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1174893267
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. NICOLE KATHERINE BRANDSTRUPCredential: PC-PROV, ATR-BC
Location Address3130 EXECUTIVE PKWY FL 8Toledo, OH 43606-5530
Mailing Address3130 Executive Pkwy Fl 8Toledo, OH 43606-5530 · (419) 720-9000 · Fax (419) 720-9002
Phone(419) 720-9000
Fax(419) 720-9002
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 5, 2012
✔ NPI 1174893267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C.1000106.PROV.
3130 EXECUTIVE PKWY FL 8, Toledo, OH 43606
Open in Google Maps ↗

Other Identifiers 1

OtherC.1000106.PROV.OH · Counselor License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Ms. Nicole Katherine Brandstrup Pc-prov, Atr-bc 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 ID9133562259
PECOS Enrollment IDI20240206002284
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 Reassignment

Medicare enrollment records show Nicole Brandstrup reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health Physicians North Specialty Care LLC
4.3 mi
Surgery
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 690 clinicians in this Medicare group
NPI 1306468418 (888) 696-3541

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. AARON LEE MCDANIEL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3130 EXECUTIVE PKWY FL 8
TOLEDO, OH 43606
Lucas County (419) 720-9000
SANDRA SIEBEN
Psychiatry & Neurology (Psychiatry)
3130 EXECUTIVE PKWY FL 8
TOLEDO, OH 43606
Lucas County (419) 720-9000
MR. DANIEL J EBLE MED, PCC
Counselor (Professional)
3130 EXECUTIVE PKWY FL 8
TOLEDO, OH 43606
Lucas County (419) 720-9000
ALEX BETZ PMHNP
Psychiatry & Neurology (Psychiatry)
3130 EXECUTIVE PKWY FL 8
TOLEDO, OH 43606
Lucas County (419) 720-9000
DJMNP LLC
Nurse Practitioner (Psychiatric/Mental Health)
3130 EXECUTIVE PKWY FL 8
TOLEDO, OH 43606
Lucas County (419) 973-4820

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 Brandstrup's NPI number?

The NPI number for Nicole Brandstrup is 1174893267. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Where is Nicole Brandstrup located?

Nicole Brandstrup practices at 3130 Executive Pkwy Fl 8, Toledo, OH 43606. The listed phone number is (419) 720-9000.

What is Nicole Brandstrup's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Brandstrup enrolled in Medicare?

Yes. Nicole Brandstrup 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 organization bills Medicare for Nicole Brandstrup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Brandstrup reassigns Medicare benefits to Mercy Health Physicians North Specialty Care LLC (Toledo, OH). The 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 Brandstrup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Brandstrup accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 6 other insurers list Nicole Brandstrup 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 Brandstrup was last updated on January 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.