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NICANOR P SAN NICOLAS MD
NPI 1457331381
Pediatrics in Seaman, OH

Active since January 18, 2006PECOS Enrolled
218 STERN RD, SEAMAN, OH 45679(937) 386-1379(937) 386-0129 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2020, May 30, 2019 (2 updates tracked since 2019).

About Nicanor P San Nicolas Md NPPES

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

NICANOR P SAN NICOLAS MD (NPI 1457331381) is an individual pediatrics provider in Seaman, Ohio, licensed in Ohio (35079956) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457331381
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameNICANOR P SAN NICOLASCredential: MD
Location Address218 STERN RDSeaman, OH 45679-9607
Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 707-4041 · Fax (513) 576-1020
Phone(937) 386-1379
Fax(937) 386-0129
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateSeptember 10, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
✔ NPI 1457331381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35079956
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
218 STERN RD, Seaman, OH 45679
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Other Identifiers 1

Medicaid2260708OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicanor P San Nicolas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Nicanor San Nicolas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthsource Of Ohio, Inc.
Same address
Primary Care
218 STERN RD
Seaman, OH 45679
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group
NPI 1023112224 (937) 386-1379

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45679 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 11

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

HEALTHSOURCE OF OHIO, INC.
Clinic/Center (Primary Care)
218 STERN RD
SEAMAN, OH 45679
Adams County (937) 386-1379
BRADLEY M. FREY DMD
Dentist
218 STERN RD
SEAMAN, OH 45679
Adams County (937) 386-1379
HEALTHSOURCE OF OHIO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
218 STERN RD
SEAMAN, OH 45679
Adams County (937) 386-1379
EDWARD J BABEY DDS
Dentist (General Practice)
218 STERN RD
SEAMAN, OH 45679
Adams County (937) 386-1379
DR. ZACHARY ALBERT MOSS DDS
Dentist
218 STERN RD
SEAMAN, OH 45679
Adams County (937) 386-1379
HEALTHSOURCE OF OHIO INC
Pharmacy (Community/Retail Pharmacy)
218 STERN RD
SEAMAN, OH 45679
Adams County (937) 386-0049
PHILLIP L. SWEDBERG M.D.
Family Medicine
218 STERN RD
SEAMAN, OH 45679
Adams County (937) 386-1379
CRAIG S CAMPBELL RPH
Pharmacist
218 STERN RD
SEAMAN, OH 45679
Adams County (937) 386-1350

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 Nicanor San Nicolas's NPI number?

The NPI number for Nicanor San Nicolas is 1457331381. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Nicanor San Nicolas located?

Nicanor San Nicolas practices at 218 Stern Rd, Seaman, OH 45679. The listed phone number is (937) 386-1379.

What is Nicanor San Nicolas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicanor San Nicolas enrolled in Medicare?

Yes. Nicanor San Nicolas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicanor San Nicolas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicanor San Nicolas reassigns Medicare benefits to Healthsource Of Ohio, Inc. (Seaman, OH). The 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 Nicanor San Nicolas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicanor San Nicolas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Nicanor San Nicolas 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.

When was this NPI record last updated?

The NPPES record for Nicanor San Nicolas was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.