MRS. NICOLE JEAN HENNICKE CRNA
NPI 1396040432
Nurse Anesthetist, Certified Registered in Cleveland, OH
About Mrs. Nicole Jean Hennicke Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE JEAN HENNICKE CRNA (NPI 1396040432) is an individual nurse anesthetist, certified registered in Cleveland, Ohio, licensed in Ohio (RN.323311) and active in the NPI registry since January 2011. She is affiliated with Marymount Hospital and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted 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 Jean Hennicke Crna 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicole Hennicke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cleveland, OH 44195
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Fairview Park, OH 44126
- Reassigned Medicare billing, Ohio enrollment
- 21 clinicians in this Medicare group
Canton, OH 44708
- Reassigned Medicare billing, Ohio enrollment
- 554 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marymount Hospital
Acute Care Hospitals · Garfield Heights, OHCleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
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 Hennicke's NPI number?
The NPI number for Nicole Hennicke is 1396040432. It was assigned to this individual provider in the NPPES registry on January 21, 2011. The provider is also known as Nicole Jean Gentry Crna.
Where is Nicole Hennicke located?
Nicole Hennicke practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-7334.
What is Nicole Hennicke's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Nicole Hennicke enrolled in Medicare?
Yes. Nicole Hennicke 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 Hennicke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Hennicke reassigns Medicare benefits to 3 organizations: The Cleveland Clinic Foundation (Cleveland, OH), Transformative Anesthesia, LLC (Fairview Park, OH) and Ohio Anesthesia Group, Inc (Canton, OH). 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 Hennicke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Hennicke accept?
Health plans from CareSource list Nicole Hennicke 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 Hennicke affiliated with any hospitals?
According to CMS data, Nicole Hennicke is affiliated with Marymount Hospital and Cleveland Clinic.
When was this NPI record last updated?
The NPPES record for Nicole Hennicke was last updated on August 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Nicole Jean Hennicke, CRNA · NPI 1396040432
Nurse Anesthetist, Certified Registered physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since January 21, 2011.
## Identity
- **NPI:** 1396040432 (Entity type: Individual)
- **Enumerated:** January 21, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN.323311 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 11100 EUCLID AVE, Cleveland, OH 44106
- **Phone:** (216) 844-7334
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Cleveland Clinic Foundation (NPI 1679525919, Cleveland, OH); Transformative Anesthesia, LLC (NPI 1144111204, Fairview Park, OH); Ohio Anesthesia Group, Inc (NPI 1639348113, Canton, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** August 24, 2012
- **Other identifiers:** Medicaid 3142843 (OH); Other RN.323311 (OH); Medicare PIN GE8248601 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1396040432) · Data from the CMS NPPES public registry.