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CAROL LYNN NAGEL FNP-CNP
NPI 1285273938
Nurse Practitioner - Family in Lorain, OH

Active since December 29, 2019PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
3600 KOLBE ROAD SUITE 127, LORAIN, OH 44053(440) 414-9200(216) 201-5582 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2020, Dec 29, 2019 (2 updates tracked since 2019).

About Carol Lynn Nagel Fnp-cnp NPPES

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

CAROL LYNN NAGEL FNP-CNP (NPI 1285273938) is an individual family provider in Lorain, Ohio, licensed in Ohio (APRN.CNP.026074) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Fisher-titus Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285273938
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL LYNN NAGELCredential: FNP-CNP
Location Address3600 KOLBE ROAD SUITE 127Lorain, OH 44053-1694
Mailing Address3600 Kolbe Road Suite 127Lorain, OH 44053-1694 · (440) 414-9200 · Fax (216) 201-5582
Phone(440) 414-9200
Fax(216) 201-5582
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 29, 2019
Last NPPES UpdateApril 6, 20202 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
✔ NPI 1285273938 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 OH · APRN.CNP.026074
3600 KOLBE ROAD SUITE 127, Lorain, OH 44053
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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.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

Carol Lynn Nagel Fnp-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 ID9638590987
PECOS Enrollment IDI20200522001192
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 5

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.
232 services191 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
109 services98 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.
83 services75 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

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

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44053 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.

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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

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 Carol Nagel's NPI number?

The NPI number for Carol Nagel is 1285273938. It was assigned to this individual provider in the NPPES registry on December 29, 2019.

Where is Carol Nagel located?

Carol Nagel practices at 3600 Kolbe Road Suite 127, Lorain, OH 44053. The listed phone number is (440) 414-9200.

What is Carol Nagel's specialty?

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

Is Carol Nagel enrolled in Medicare?

Yes. Carol Nagel 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 Carol Nagel accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Carol Nagel 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 Carol Nagel affiliated with any hospitals?

According to CMS data, Carol Nagel is affiliated with Fisher-Titus Hospital, University Hospitals - Elyria Medical Center and Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Carol Nagel was last updated on April 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.