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NICOLE C. ENGELBERT CNP
NPI 1629355466
Nurse Practitioner - Acute Care in Fairfield, OH

Active since November 08, 2011PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
3000 MACK RD, STE 120, FAIRFIELD, OH 45014(513) 682-6975(513) 682-6976 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicole C. Engelbert Cnp NPPES

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

NICOLE C. ENGELBERT CNP (NPI 1629355466) is an individual acute care provider in Fairfield, Ohio, licensed in Ohio (COA.12810-NP) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1629355466
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNICOLE C. ENGELBERTCredential: CNP
Location Address3000 MACK RD, STE 120Fairfield, OH 45014-5335
Mailing Address3000 Mack Rd, Ste 120Fairfield, OH 45014-5335 · (513) 682-6975 · Fax (513) 682-6976
Phone(513) 682-6975
Fax(513) 682-6976
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 8, 2011
Last NPPES UpdateNovember 6, 2012
✔ NPI 1629355466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · COA.12810-NP
3000 MACK RD, Fairfield, OH 45014
Open in Google Maps ↗

Other Identifiers 2

Medicaid0057018OH
Medicare PINH057682OH

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole C. Engelbert 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 ID3476728320
PECOS Enrollment IDI20111205000824
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.
172 services167 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.
60 services59 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.
36 services33 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

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 45014 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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

HAMILTON ANCILLARY SERVICES
Internal Medicine (Pulmonary Disease)
3000 MACK RD
FAIRFIELD, OH 45014
Butler County (937) 291-7850
MADONNA LEA DECHRISTOPHER CNP
Nurse Practitioner (Family)
3000 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 682-1838
MARK M KIRKHAM MD
Internal Medicine (Cardiovascular Disease)
3000 MACK RD, SUITE 100
FAIRFIELD, OH 45014
Butler County (513) 751-4222
JACQUELYN ANNE VIRGI PALMER M.D.
Surgery (Surgical Oncology)
3000 MACK RD, STE. 2531
FAIRFIELD, OH 45014
Butler County (513) 924-8535
DR. KEVIN GREGORY-GO BELEN M.D.
Emergency Medicine
3000 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 870-7000
MS. SHELLY JARYAL M.D.
Student in an Organized Health Care Education/Training Program
3000 MACK RD
FARFIELD, OH 45014
Butler County (513) 870-7000
PATHOLOGISTS, INC
Specialist
3000 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 870-7032
BRADFORD HAROLD WOODALL MD
Radiology (Diagnostic Radiology)
3000 MACK RD
FAIRFIELD, OH 45014
Butler County (513) 870-7024

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 Engelbert's NPI number?

The NPI number for Nicole Engelbert is 1629355466. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Where is Nicole Engelbert located?

Nicole Engelbert practices at 3000 Mack Rd Ste 120, Fairfield, OH 45014. The listed phone number is (513) 682-6975.

What is Nicole Engelbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicole Engelbert enrolled in Medicare?

Yes. Nicole Engelbert 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.

What insurance does Nicole Engelbert accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Nicole Engelbert 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 Engelbert affiliated with any hospitals?

According to CMS data, Nicole Engelbert is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Nicole Engelbert was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.