NICOLE A STOVER CRNP
NPI 1609529312
Nurse Practitioner - Family in Clearfield, PA

Active since February 02, 2022PECOS EnrolledAccepts Medicare Assignment
78.5/100
CMS Quality Rating
820 TURNPIKE AVE, CLEARFIELD, PA 16830(814) 765-6644 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 24, 2022, Feb 2, 2022 (2 updates tracked since 2022).

About Nicole A Stover Crnp NPPES

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

NICOLE A STOVER CRNP (NPI 1609529312) is an individual family provider in Clearfield, Pennsylvania, licensed in Pennsylvania (SP025154) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609529312
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE A STOVERCredential: CRNP
Location Address820 TURNPIKE AVEClearfield, PA 16830-1233
Mailing Address820 Turnpike AveClearfield, PA 16830-1233 · (814) 765-6644
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 2, 2022
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1609529312 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 PA · SP025154
820 TURNPIKE AVE, Clearfield, PA 16830

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 A Stover Crnp 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 ID446645295
PECOS Enrollment IDI20220315001325
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 27

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 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.
207 services135 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.
190 services129 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
189 services122 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
141 services141 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
136 services136 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
133 services133 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Connellsville

Acute Care Hospitals · Connellsville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390184
Location401 East Murphy AvenueConnellsville, PA 15425 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16830 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.6
Improvement Activities20
Cost81.53

Other Providers at the Same Location NPPES 9

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

Internal Medicine
820 TURNPIKE AVE
CLEARFIELD, PA 16830
Internal Medicine
820 TURNPIKE AVE
CLEARFIELD, PA 16830
Podiatrist (Foot & Ankle Surgery)
820 TURNPIKE AVE
CLEARFIELD, PA 16830
Internal Medicine
820 TURNPIKE AVE
CLEARFIELD, PA 16830
Family Medicine
820 TURNPIKE AVE
CLEARFIELD, PA 16830
Podiatrist (Foot & Ankle Surgery)
820 TURNPIKE AVE
CLEARFIELD, PA 16830
Podiatrist (Foot & Ankle Surgery)
820 TURNPIKE AVE
CLEARFIELD, PA 16830
Internal Medicine
820 TURNPIKE AVE
CLEARFIELD, PA 16830

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 Stover's NPI number?

The NPI number for Nicole Stover is 1609529312. It was assigned to this individual provider in the NPPES registry on February 2, 2022.

Where is Nicole Stover located?

Nicole Stover practices at 820 Turnpike Ave, Clearfield, PA 16830. The listed phone number is (814) 765-6644.

What is Nicole Stover's specialty?

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

Is Nicole Stover enrolled in Medicare?

Yes. Nicole Stover 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.

Is Nicole Stover affiliated with any hospitals?

According to CMS data, Nicole Stover is affiliated with Penn Highlands Dubois and Penn Highlands Connellsville.

When was this NPI record last updated?

The NPPES record for Nicole Stover was last updated on August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.