NICOLE PACK CNP
NPI 1467003921
Nurse Practitioner - Family in Lorain, OH

Q: What is Nicole Pack's NPI number?

The NPI number for Nicole Pack is 1467003921. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Q: What is Nicole Pack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Pack was last updated on January 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment

5700 COOPER FOSTER PARK RD W, LORAIN, OH 44053(440) 204-7400 Get Directions Write a Review

NPPES record last updated: January 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 8, 2023, Sep 26, 2019 (2 updates tracked since 2019).

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About Nicole Pack Cnp NPPES

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

NICOLE PACK CNP (NPI 1467003921) is an individual family provider in Lorain, Ohio, licensed in Ohio (025445) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467003921

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE PACKCredential: CNP

Location Address5700 COOPER FOSTER PARK RD WLorain, OH 44053-4152

Mailing Address5700 Cooper Foster Park Rd WLorain, OH 44053-4152 · (440) 204-7400

Phone(440) 204-7400

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 26, 2019

Last NPPES UpdateJanuary 8, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2023

✔ NPI 1467003921 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 · 025445

5700 COOPER FOSTER PARK RD W, Lorain, OH 44053

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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 Pack 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 ID1557693223

PECOS Enrollment IDI20191029003535

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 4

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.

157 services149 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.

59 services58 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

18 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360364

Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44053 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 20

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

DR. ERICA MARIE ROESCH MD

Family Medicine