NICOLE J DANNER D.O.
NPI 1245202050
Psychiatry & Neurology - Neurology in Bellevue, OH

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
86.6/100
CMS Quality Rating
5433 STATE ROUTE 113, BELLEVUE, OH 44811(419) 483-2403(429) 483-8418 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole J Danner D.o. NPPES

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

NICOLE J DANNER D.O. (NPI 1245202050) is an individual neurology provider in Bellevue, Ohio, licensed in Ohio (34008317) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1245202050
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameNICOLE J DANNERCredential: D.O.
Location Address5433 STATE ROUTE 113Bellevue, OH 44811-9708
Mailing Address5433 State Route 113Bellevue, OH 44811-9708 · (419) 483-2403 · Fax (419) 483-8418
Fax(429) 483-8418
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2001
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMarch 14, 2016
NPI 1245202050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OH · 34008317
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

5433 STATE ROUTE 113, Bellevue, OH 44811

Other Identifiers 7

Other7057683OH · Aetna Ins
Medicare PIN4158081OH
Other000000364458OH · Anthem Ins
Other11449810OH · Caqh
Medicare UPINI30418OH
Medicaid2576743OH
OtherP00242190OH · Railroad Medicare

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

Nicole J Danner D.o. 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 ID5193769115
PECOS Enrollment IDI20050610000470
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 19

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
26,200 services42 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.
510 services344 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
213 services109 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.
129 services114 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
113 services113 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
57 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360065
Location272 Benedict AvenueNorwalk, OH 44857 · Huron County
Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Mercy Health - Willard Hospital

Critical Access Hospitals · Willard, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361310
Location1100 Neal Zick RoadWillard, OH 44890 · Huron County
Emergency services

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44811 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

86.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.21
Improvement Activities40

Reported Quality Measures

Advance Care Plan
81%526 patients4/55-star benchmark: 100%
Dementia: Education and Support of Caregivers for Patients with Dementia
26%66 patients
Documentation of Current Medications in the Medical Record
95%1,361 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
55%513 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
77%962 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 283 patients
Patients screened: 99% · 283 patients
75%24 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 97% · 290 patients
Patients screened: 98% · 290 patients
86%29 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers193 claims193 services$43.35 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers197 claims197 services$105.00 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers183 claims396 services$39.76 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers50 claims229 services$24.96 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers20 claims93 services$17.94 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers90 claims90 services$72.17 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 16

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

Counselor (Professional)
5433 STATE ROUTE 113
BELLEVUE, OH 44811
Social Worker (Clinical)
5433 STATE ROUTE 113
BELLEVUE, OH 44811
Counselor (Addiction (Substance Use Disorder))
5433 STATE ROUTE 113
BELLEVUE, OH 44811
Physical Therapist
5433 STATE ROUTE 113
BELLEVUE, OH 44811
Social Worker
5433 STATE ROUTE 113
BELLEVUE, OH 44811
Psychiatry & Neurology (Neurology)
5433 STATE ROUTE 113
BELLEVUE, OH 44811
Psychiatry & Neurology (Neurology)
5433 STATE ROUTE 113
BELLEVUE, OH 44811
Nurse Practitioner
5433 STATE ROUTE 113
BELLEVUE, OH 44811

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 Danner's NPI number?

The NPI number for Nicole Danner is 1245202050. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Nicole Danner located?

Nicole Danner practices at 5433 State Route 113, Bellevue, OH 44811. The listed phone number is (419) 483-2403.

What is Nicole Danner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Nicole Danner enrolled in Medicare?

Yes. Nicole Danner 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 Nicole Danner accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Nicole Danner 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 Nicole Danner affiliated with any hospitals?

According to CMS data, Nicole Danner is affiliated with Firelands Regional Medical Center, Fisher-Titus Hospital, Bellevue Hospital, Mercy Health - Willard Hospital and Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Danner was last updated on March 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.