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CAROL M NIKOLAI CNP
NPI 1568694800
Nurse Practitioner - Family in Dayton, OH

Active since August 20, 2009PECOS Enrolled
86.15/100
CMS Quality Rating
3120 GOVERNORS PLACE BLVD, DAYTON, OH 45409(937) 293-1622(937) 245-6308 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2022, Dec 30, 2020, Jan 30, 2019 and 3 more (6 updates tracked since 2015).

About Carol M Nikolai Cnp NPPES

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

CAROL M NIKOLAI CNP (NPI 1568694800) is an individual family provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.05039) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568694800
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL M NIKOLAICredential: CNP
Location Address3120 GOVERNORS PLACE BLVDDayton, OH 45409-1328
Mailing Address6680 Poe Ave Ste 200Dayton, OH 45414-2855 · (937) 280-8400 · Fax (937) 280-8373
Phone(937) 293-1622
Fax(937) 245-6308
Sole ProprietorNo
Enumeration DateAugust 20, 2009
Last NPPES UpdateJanuary 7, 20226 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2022
✔ NPI 1568694800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.05039
Also ListedNurse PractitionerTaxonomy 363L00000X · License COA.05039-NP (OH)
3120 GOVERNORS PLACE BLVD, Dayton, OH 45409
Open in Google Maps ↗

Other Identifiers 1

Medicaid0159747OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol M Nikolai Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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.

86.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.16
Promoting Interoperability100
Improvement Activities40
Cost77.93

Reported Quality Measures

Breast Cancer Screening
50%86 patients3/55-star benchmark: 93%
Cervical Cancer Screening
23%66 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
13%24 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
35%187 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
63%89 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
24%34 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
50%34 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%579 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
15%200 patients1/55-star benchmark: 100%
HIV Screening
11%169 patients1/55-star benchmark: 60%
Oncology: Medical and Radiation - Pain Intensity Quantified
99%78 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%332 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
98%242 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
32%388 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 93 patients
96%93 patients
Provide Patients Electronic Access to Their Health Information
100%112 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%150 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 17% · 204 patients
Patients totalRate: 25% · 204 patients
20%204 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. MARK D ROMER MD
Internal Medicine (Hematology & Oncology)
3120 GOVERNORS PLACE BLVD
DAYTON, OH 45409
Montgomery County (937) 293-1622
KETAN S. SHAH MD
Internal Medicine (Hematology & Oncology)
3120 GOVERNORS PLACE BLVD
DAYTON, OH 45409
Montgomery County (937) 293-1622
MANISH R SHETH MD
Internal Medicine (Hematology & Oncology)
3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409
Montgomery County (937) 293-1622
THOMAS ALEXANDER RHONE R.PH
Pharmacist
3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409
Montgomery County (937) 528-0340
DOUGLAS B EINSTEIN MD
Radiology (Radiation Oncology)
3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409
Montgomery County (937) 293-1622
DR. BURHAN S YANES MD
Internal Medicine (Hematology & Oncology)
3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409
Montgomery County (937) 293-1622
JOHNNA BETH STAMPER CNP
Nurse Practitioner (Family)
3120 GOVERNORS PLACE BLVD
DAYTON, OH 45409
Montgomery County (937) 293-1622
GARY L NICHOLSON M.D.
Internal Medicine (Hematology & Oncology)
3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409
Montgomery County (937) 293-1622

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 Carol Nikolai's NPI number?

The NPI number for Carol Nikolai is 1568694800. It was assigned to this individual provider in the NPPES registry on August 20, 2009.

Where is Carol Nikolai located?

Carol Nikolai practices at 3120 Governors Place Blvd, Dayton, OH 45409. The listed phone number is (937) 293-1622.

What is Carol Nikolai's specialty?

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

Is Carol Nikolai enrolled in Medicare?

Yes. Carol Nikolai is registered in the Medicare PECOS enrollment system.

What insurance does Carol Nikolai accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and UnitedHealthcare list Carol Nikolai 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 Carol Nikolai was last updated on January 7, 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.