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MRS. NICOLE LEE SEXTON CNP
NPI 1225524051
Nurse Practitioner - Gerontology in Mason, OH

Active since July 04, 2018PECOS EnrolledAccepts Medicare Assignment
4483 US NORTH 42, MASON, OH 45040(833) 510-4357(513) 873-1567 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2024, Apr 9, 2024, Sep 25, 2019 and 3 more (6 updates tracked since 2018).

About Mrs. Nicole Lee Sexton Cnp NPPES

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

MRS. NICOLE LEE SEXTON CNP (NPI 1225524051) is an individual gerontology provider in Mason, Ohio, licensed in Ohio (APRN.CNP.022847) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1225524051
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. NICOLE LEE SEXTONCredential: CNP
Location Address4483 US NORTH 42Mason, OH 45040-1934
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (833) 510-4357 · Fax (513) 873-1567
Phone(833) 510-4357
Fax(513) 873-1567
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 4, 2018
Last NPPES UpdateSeptember 30, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1225524051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OH · APRN.CNP.022847
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.022847 (OH)
4483 US NORTH 42, Mason, OH 45040
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13053 Clemons LnBatavia, OH 45103-9454 · Phone (513) 305-8493
Location 26722 State Route 132Goshen, OH 45122 · Phone (513) 575-7879

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, CareSource 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

Mrs. Nicole Lee Sexton Cnp 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 ID3971937947
PECOS Enrollment IDI20191227001578, I20260105002885
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

2

Medicare enrollment records show Nicole Sexton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brightview LLC
20 mi
Psychiatry
446 MORGAN ST
Cincinnati, OH 45206
  • Reassigned Medicare billing, Ohio enrollment
  • 168 clinicians in this Medicare group
NPI 1518622489 (833) 510-4357
Boulder Care Provider Group PA
1,987 mi
Addiction Medicine
111 SW NAITO PKWY STE 200
Portland, OR 97204
  • Reassigned Medicare billing, North Carolina and Ohio enrollments
  • 76 clinicians in this Medicare group
NPI 1649838590 (888) 316-0451

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 45040 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.

BRANDON KUTCHERA CDCA
Counselor (Addiction (Substance Use Disorder))
4483 US NORTH 42
MASON, OH 45040
Warren County (833) 510-4357
KIMBERLY M BRICKLER RN
Registered Nurse
4483 US NORTH 42
MASON, OH 45040
Warren County (513) 536-0050
ANGELA CHANEY RN
Registered Nurse (Addiction (Substance Use Disorder))
4483 US NORTH 42
MASON, OH 45040
Warren County (513) 536-0050
MS. AMBER JEAN MCKEEVER LPN
Licensed Practical Nurse
4483 US NORTH 42
MASON, OH 45040
Warren County (866) 934-7450
KACIE ELIZABETH GIFFIN LCDCII
Counselor (Addiction (Substance Use Disorder))
4483 US NORTH 42
MASON, OH 45040
Warren County (513) 834-7063
HEATHER NICOLE EDENS RN
Registered Nurse
4483 US NORTH 42
MASON, OH 45040
Warren County (513) 834-7063
CRYSTAL M SWIMELEY CDCA
Counselor (Addiction (Substance Use Disorder))
4483 US NORTH 42
MASON, OH 45040
Warren County (866) 934-7450
DENISE RE CNP
Nurse Practitioner (Psychiatric/Mental Health)
4483 US NORTH 42
MASON, OH 45040
Warren County (513) 834-7063

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 Sexton's NPI number?

The NPI number for Nicole Sexton is 1225524051. It was assigned to this individual provider in the NPPES registry on July 4, 2018.

Where is Nicole Sexton located?

Nicole Sexton practices at 4483 Us North 42, Mason, OH 45040. The listed phone number is (833) 510-4357.

What is Nicole Sexton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Sexton enrolled in Medicare?

Yes. Nicole Sexton 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 Sexton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Sexton reassigns Medicare benefits to 2 organizations: Brightview LLC (Cincinnati, OH) and Boulder Care Provider Group PA (Portland, OR). 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 Sexton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Sexton accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, CareSource, MedMutual and Molina Healthcare and 2 other insurers list Nicole Sexton 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 Sexton was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.