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NICOLE KAY RAFFEL CNP
NPI 1548928203
Nurse Practitioner - Family in Montgomery, OH

Active since November 30, 2021PECOS Enrolled
76.79/100
CMS Quality Rating
10500 MONTGOMERY RD STE 6345, MONTGOMERY, OH 45242(513) 865-5167(513) 865-5175 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 13, 2025, Jan 20, 2022, Nov 30, 2021 (3 updates tracked since 2021).

About Nicole Kay Raffel Cnp NPPES

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

NICOLE KAY RAFFEL CNP (NPI 1548928203) is an individual family provider in Montgomery, Ohio, licensed in Ohio (CNP.0030190) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1548928203
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE KAY RAFFELCredential: CNP
Location Address10500 MONTGOMERY RD STE 6345Montgomery, OH 45242-4402
Mailing Address10500 Montgomery Rd Ste 6345Montgomery, OH 45242-4402 · (513) 865-5167 · Fax (513) 865-5175
Phone(513) 865-5167
Fax(513) 865-5175
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 30, 2021
Last NPPES UpdateMay 13, 20253 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1548928203 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 · CNP.0030190
10500 MONTGOMERY RD STE 6345, Montgomery, OH 45242
Open in Google Maps ↗

Secondary Practice Location 1

Location 17502 State Rd Ste 2210Cincinnati, OH 45255-2595 · Phone (513) 624-2070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Kay Raffel Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890189476
PECOS Enrollment IDI20220224000877
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

3

Medicare enrollment records show Nicole Raffel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Cincinnati Specialty Care LLC
2.1 mi
Surgery
4600 MCAULEY PL STE 600
Blue Ash, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 481 clinicians in this Medicare group
NPI 1154942795 (888) 696-3541
Hospice Of Cincinnati Incorporated
2.7 mi
Hospice Care, Community Based
4310 COOPER RD, SUITE 300
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
NPI 1598740011 (513) 891-7700
Premier Health Specialists Inc
16 mi
Psychologist
5900 LONG MEADOW DR, SUITE 300
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1831466986 (937) 478-0749

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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.

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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Other Providers at the Same Location NPPES 4

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

TAYLOR SMITH CNP
Nurse Practitioner (Acute Care)
10500 MONTGOMERY RD STE 6345
MONTGOMERY, OH 45242
Hamilton County (513) 865-5167
DR. DAVID AARON HABIB MD
Family Medicine (Hospice and Palliative Medicine)
10500 MONTGOMERY RD STE 6345
MONTGOMERY, OH 45242
Hamilton County (513) 865-5167
LAUREN N KUYKENDALL APRN
Nurse Practitioner (Gerontology)
10500 MONTGOMERY RD STE 6345
MONTGOMERY, OH 45242
Hamilton County (513) 865-5167
SARA MARIE STIGLER MAPLES MD
Family Medicine (Hospice and Palliative Medicine)
10500 MONTGOMERY RD STE 6345
MONTGOMERY, OH 45242
Hamilton County (513) 865-5167

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 Raffel's NPI number?

The NPI number for Nicole Raffel is 1548928203. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Nicole Raffel located?

Nicole Raffel practices at 10500 Montgomery Rd Ste 6345, Montgomery, OH 45242. The listed phone number is (513) 865-5167.

What is Nicole Raffel's specialty?

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

Is Nicole Raffel enrolled in Medicare?

Yes. Nicole Raffel is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Raffel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Raffel reassigns Medicare benefits to 3 organizations: Mercy Health Physicians Cincinnati Specialty Care LLC (Blue Ash, OH), Hospice Of Cincinnati Incorporated (Cincinnati, OH) and Premier Health Specialists Inc (Middletown, OH). 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 Raffel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Raffel accept?

Health plans from MedMutual list Nicole Raffel 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 Raffel affiliated with any hospitals?

According to CMS data, Nicole Raffel is affiliated with Mercy Health - Fairfield Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Nicole Raffel was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.