NICOLE MARIE HENRY
NPI 1437812930
Nurse Practitioner in Pittsburgh, PA

Active since October 21, 2021PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
300 HALKET ST STE 5730, PITTSBURGH, PA 15213(412) 621-7575(412) 621-6353 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2022, Oct 21, 2021 (2 updates tracked since 2021).

About Nicole Marie Henry NPPES

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

NICOLE MARIE HENRY (NPI 1437812930) is an individual nurse practitioner in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP024425) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437812930
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE MARIE HENRY
Location Address300 HALKET ST STE 5730Pittsburgh, PA 15213-3108
Mailing Address300 Halket St Ste 5730Pittsburgh, PA 15213-3108 · (412) 621-7575 · Fax (412) 621-6353
Fax(412) 621-6353
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 21, 2021
Last NPPES UpdateJune 28, 20222 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
✔ NPI 1437812930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP024425
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
300 HALKET ST STE 5730, Pittsburgh, PA 15213

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

Nicole Marie Henry 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 ID749678571
PECOS Enrollment IDI20211028001231
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Henry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
300 HALKET ST
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Family Medicine
5140 LIBERTY AVE
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 5

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

Obstetrics & Gynecology
300 HALKET ST STE 5730
PITTSBURGH, PA 15213
Obstetrics & Gynecology
300 HALKET ST STE 5730
PITTSBURGH, PA 15213
Physician Assistant
300 HALKET ST STE 5730
PITTSBURGH, PA 15213
Obstetrics & Gynecology
300 HALKET ST STE 5730
PITTSBURGH, PA 15213
Physician Assistant (Medical)
300 HALKET ST STE 5730
PITTSBURGH, PA 15213

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 Henry's NPI number?

The NPI number for Nicole Henry is 1437812930. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Where is Nicole Henry located?

Nicole Henry practices at 300 Halket St Ste 5730, Pittsburgh, PA 15213. The listed phone number is (412) 621-7575.

What is Nicole Henry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Henry enrolled in Medicare?

Yes. Nicole Henry 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 Henry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Henry reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA) and Allegheny Clinic (Pittsburgh, PA). 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 Henry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicole Henry affiliated with any hospitals?

According to CMS data, Nicole Henry is affiliated with Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Nicole Henry was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.