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MS. ARICA NICOLE DONINI APRN
NPI 1194981969
Nurse Practitioner - Family in Vanceburg, KY

Active since July 31, 2008PECOS EnrolledAccepts Medicare Assignment
207 PLUMMERS LN, VANCEBURG, KY 41179(606) 796-0010 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Arica Nicole Donini Aprn NPPES

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

MS. ARICA NICOLE DONINI APRN (NPI 1194981969) is an individual family provider in Vanceburg, Kentucky, licensed in Kentucky (3006965) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1194981969
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. ARICA NICOLE DONINICredential: APRN
Location Address207 PLUMMERS LNVanceburg, KY 41179-7683
Mailing Address626 Central CtrChillicothe, OH 45601-2248
Phone(606) 796-0010
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 31, 2008
Last NPPES UpdateDecember 14, 2020
NPPES CertifiedDecember 14, 2020
✔ NPI 1194981969 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
Licenses✔ Licensed in KY · 3006965✔ Licensed in OH · NP-10092
207 PLUMMERS LN, Vanceburg, KY 41179
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual 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. Arica Nicole Donini Aprn 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 ID9335214725
PECOS Enrollment IDI20080820000054
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 Arica Donini reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adena Medical Group LLC
58 mi
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group
NPI 1235468083 (740) 779-7500

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

Areas of Expertise CMS Part B claims 3

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 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.
119 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41179 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims37 services$5.57 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims2,306 services$0.02 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers12 claims12 services$205.73 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$17.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DENNIS WEDDINGTON PHARMD
Pharmacist
207 PLUMMERS LN
VANCEBURG, KY 41179
Lewis County (606) 736-0050
FRANCES MARY KEATING M.D.
Family Medicine
207 PLUMMERS LN
VANCEBURG, KY 41179
Lewis County (606) 796-0010
MINDY KATHERINE MILLER
Pharmacist
207 PLUMMERS LN
VANCEBURG, KY 41179
Lewis County (606) 796-0050
FRESH START HEALTH PSC
Clinic/Center (Rural Health)
207 PLUMMERS LN
VANCEBURG, KY 41179
Lewis County (606) 225-8200
PROFESSIONAL CARE PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
207 PLUMMERS LN, STE A
VANCEBURG, KY 41179
Lewis County (606) 796-6100
JENNIFER MARY RICE APRN
Nurse Practitioner (Psychiatric/Mental Health)
207 PLUMMERS LN
VANCEBURG, KY 41179
Lewis County (606) 225-8200

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 Arica Donini's NPI number?

The NPI number for Arica Donini is 1194981969. It was assigned to this individual provider in the NPPES registry on July 31, 2008.

Where is Arica Donini located?

Arica Donini practices at 207 Plummers Ln, Vanceburg, KY 41179. The listed phone number is (606) 796-0010.

What is Arica Donini's specialty?

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

Is Arica Donini enrolled in Medicare?

Yes. Arica Donini 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 Arica Donini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arica Donini reassigns Medicare benefits to Adena Medical Group LLC (Chillicothe, 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 Arica Donini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arica Donini accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Arica Donini 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 Arica Donini affiliated with any hospitals?

According to CMS data, Arica Donini is affiliated with Adena Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Arica Donini was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.