NICOLE REX
NPI 1326574062
Family Medicine in Chillicothe, OH

Active since May 01, 2017PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
4461 STATE ROUTE 159 STE A, CHILLICOTHE, OH 45601(740) 779-4900 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2023, Nov 19, 2020, Aug 2, 2020 (3 updates tracked since 2020).

About Nicole Rex NPPES

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

NICOLE REX (NPI 1326574062) is an individual family medicine provider in Chillicothe, Ohio, licensed in Ohio (34.014681) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326574062
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE REX
Location Address4461 STATE ROUTE 159 STE AChillicothe, OH 45601-6000
Mailing Address135 Cedar Hill DrWaverly, OH 45690-9142 · (330) 256-6315
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 1, 2017
Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
NPI 1326574062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 34.014681
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4461 STATE ROUTE 159 STE A, Chillicothe, OH 45601

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 Rex 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 ID5890110803
PECOS Enrollment IDI20200807002585
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 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.
63 services54 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.
50 services47 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.
20 services16 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 45601 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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
4461 STATE ROUTE 159 STE A
CHILLICOTHE, OH 45601
Family Medicine
4461 STATE ROUTE 159 STE A
CHILLICOTHE, OH 45601
Family Medicine
4461 STATE ROUTE 159 STE A
CHILLICOTHE, OH 45601
Family Medicine
4461 STATE ROUTE 159 STE A
CHILLICOTHE, OH 45601
Family Medicine
4461 STATE ROUTE 159 STE A
CHILLICOTHE, OH 45601
Family Medicine
4461 STATE ROUTE 159 STE A
CHILLICOTHE, OH 45601
Family Medicine
4461 STATE ROUTE 159 STE A
CHILLICOTHE, OH 45601
Family Medicine
4461 STATE ROUTE 159 STE A
CHILLICOTHE, OH 45601

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 Rex's NPI number?

The NPI number for Nicole Rex is 1326574062. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Nicole Rex located?

Nicole Rex practices at 4461 State Route 159 Ste A, Chillicothe, OH 45601. The listed phone number is (740) 779-4900.

What is Nicole Rex's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Rex enrolled in Medicare?

Yes. Nicole Rex 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 Rex accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Nicole Rex 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 Rex affiliated with any hospitals?

According to CMS data, Nicole Rex is affiliated with Adena Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Rex was last updated on August 31, 2023. 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.