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NICOLE STEPHENS CNP
NPI 1437870276
Nurse Practitioner - Family in Wapakoneta, OH

Active since September 09, 2022PECOS EnrolledAccepts Medicare Assignment
1321 BELLEFONTAINE ST STE 100, WAPAKONETA, OH 45895(567) 356-4054(567) 356-4056 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Stephens Cnp NPPES

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

NICOLE STEPHENS CNP (NPI 1437870276) is an individual family provider in Wapakoneta, Ohio, licensed in Ohio (0032285) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Mercer County Joint Township Community Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1437870276
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE STEPHENSCredential: CNP
Location Address1321 BELLEFONTAINE ST STE 100Wapakoneta, OH 45895-8769
Mailing Address1085 Polaris PkwyColumbus, OH 43240-2004 · (614) 505-0021 · Fax (614) 505-0006
Phone(567) 356-4054
Fax(567) 356-4056
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1437870276 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
License✔ Licensed in OH · 0032285
1321 BELLEFONTAINE ST STE 100, Wapakoneta, OH 45895
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Stephens Cnp 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 ID3678940053
PECOS Enrollment IDI20221028000895
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 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
63 services62 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.
62 services61 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
59 services57 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
54 services54 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45895 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

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

KAITLIN A MARTIN CNP
Nurse Practitioner (Family)
1321 BELLEFONTAINE ST STE 100
WAPAKONETA, OH 45895
Auglaize County (567) 356-4054

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 Stephens's NPI number?

The NPI number for Nicole Stephens is 1437870276. It was assigned to this individual provider in the NPPES registry on September 9, 2022.

Where is Nicole Stephens located?

Nicole Stephens practices at 1321 Bellefontaine St Ste 100, Wapakoneta, OH 45895. The listed phone number is (567) 356-4054.

What is Nicole Stephens's specialty?

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

Is Nicole Stephens enrolled in Medicare?

Yes. Nicole Stephens 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 Stephens accept?

Health plans from CareSource list Nicole Stephens 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 Stephens affiliated with any hospitals?

According to CMS data, Nicole Stephens is affiliated with Mercer County Joint Township Community Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Stephens was last updated on September 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.