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NICOLE MARIE JONES NP
NPI 1407001050
Nurse Practitioner - Family in Cincinnati, OH

Active since November 24, 2008PECOS EnrolledAccepts Medicare Assignment
7545 BEECHMONT AVE STE A, CINCINNATI, OH 45255(513) 624-9100(513) 624-7840 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2019, Jun 27, 2018 (2 updates tracked since 2018).

About Nicole Marie Jones Np NPPES

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

NICOLE MARIE JONES NP (NPI 1407001050) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (10948NP) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-anderson Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1407001050
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE MARIE JONESCredential: NP
Location Address7545 BEECHMONT AVE STE ACincinnati, OH 45255-4238
Mailing Address7545 Beechmont Ave Ste ACincinnati, OH 45255-4238 · (513) 624-9100 · Fax (513) 624-7840
Phone(513) 624-9100
Fax(513) 624-7840
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 24, 2008
Last NPPES UpdateJanuary 28, 20192 updates tracked since enumeration
✔ NPI 1407001050 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
Licenses✔ Licensed in OH · 10948NP✔ Licensed in KY · 3005733P
7545 BEECHMONT AVE STE A, Cincinnati, OH 45255
Open in Google Maps ↗

Other Identifiers 1

Medicaid0051362OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 Marie Jones Np 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 ID7416019955
PECOS Enrollment IDI20110713000446
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 10

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.
243 services169 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.
127 services88 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
77 services77 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
43 services35 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.
27 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45255 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.

Other Providers at the Same Location NPPES 2

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

MRS. CAROL JOAN BYERS
Social Worker
7545 BEECHMONT AVE STE A
CINCINNATI, OH 45255
Hamilton County (513) 624-9100
AMY DADOSKY APRN
Nurse Practitioner (Gerontology)
7545 BEECHMONT AVE STE A
CINCINNATI, OH 45255
Hamilton County (513) 624-9100

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 Jones's NPI number?

The NPI number for Nicole Jones is 1407001050. It was assigned to this individual provider in the NPPES registry on November 24, 2008.

Where is Nicole Jones located?

Nicole Jones practices at 7545 Beechmont Ave Ste A, Cincinnati, OH 45255. The listed phone number is (513) 624-9100.

What is Nicole Jones's specialty?

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

Is Nicole Jones enrolled in Medicare?

Yes. Nicole Jones 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 Jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Nicole Jones 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 Jones affiliated with any hospitals?

According to CMS data, Nicole Jones is affiliated with Mercy Health-Anderson Hospital and Christ Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Jones was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.