NICOLE MARCHELLE HERATH
NPI 1295224350
Physician Assistant in Columbus, OH

Q: What is Nicole Herath's NPI number?

The NPI number for Nicole Herath is 1295224350. It was assigned to this individual provider in the NPPES registry on May 4, 2018. The provider is also known as Nicole Marchelle Miller.

Q: What is Nicole Herath's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Herath was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since May 04, 2018PECOS EnrolledAccepts Medicare Assignment

55 DILLMONT DR, COLUMBUS, OH 43235(614) 802-6080(380) 255-7300 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2026, Aug 15, 2024, Apr 16, 2021 and 2 more (5 updates tracked since 2018).

On this page

About Nicole Marchelle Herath NPPES

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

NICOLE MARCHELLE HERATH (NPI 1295224350) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.005754RX) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295224350

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE MARCHELLE HERATH

Location Address55 DILLMONT DRColumbus, OH 43235-6458

Mailing Address3525 Olentangy River Rd Ste 4330Columbus, OH 43214-3937 · (614) 255-6900 · Fax (614) 255-6901

Phone(614) 802-6080

Fax(380) 255-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 4, 2018

Last NPPES UpdateApril 14, 20265 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1295224350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.005754RX

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

55 DILLMONT DR, Columbus, OH 43235

Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Marchelle Miller

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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 Marchelle Herath 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 ID9436492006

PECOS Enrollment IDI20190522002078

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

77 services64 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

70 services54 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

24 services24 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.

17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Genesis Hospital

Acute Care Hospitals · Zanesville, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360039

Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43235 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

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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 10

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

CROSSWOODS WOMEN'S HEALTH, INC.

Specialist

55 DILLMONT DR, SUITE 102
COLUMBUS, OH 43235

Franklin County (614) 431-1634

CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC

Specialist

55 DILLMONT DR, SUITE 100
COLUMBUS, OH 43235

Franklin County (614) 839-3040

PATRICIA S GRAVES NURSE PRACTIONER

Nurse Practitioner (Pediatrics)

55 DILLMONT DR, STE 100
COLUMBUS, OH 43235

Franklin County (614) 839-3040

RICK ANTHONY STEPHENSON PA-C

Physician Assistant