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NICOLE E PETGRAVE NURSE PRACTITIONER
NPI 1649812405
Nurse Practitioner - Gerontology in Mentor, OH

Active since October 14, 2019PECOS EnrolledAccepts Medicare Assignment
84.27/100
CMS Quality Rating
8200 MENTOR HILLS DR, MENTOR, OH 44060(800) 427-1902(419) 531-2664 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole E Petgrave Nurse Practitioner NPPES

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

NICOLE E PETGRAVE NURSE PRACTITIONER (NPI 1649812405) is an individual gerontology provider in Mentor, Ohio, licensed in Ohio (APRN.CNP.024887) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649812405
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE E PETGRAVECredential: NURSE PRACTITIONER
Location Address8200 MENTOR HILLS DRMentor, OH 44060-7861
Mailing Address333 N Summit St Fl 7Toledo, OH 43604-1531 · (419) 252-6018 · Fax (800) 564-5952
Phone(800) 427-1902
Fax(419) 531-2664
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 14, 2019
Last NPPES UpdateOctober 15, 2019
✔ NPI 1649812405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OH · APRN.CNP.024887
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN.CNP.024887 (OH)
8200 MENTOR HILLS DR, Mentor, OH 44060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare), MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole E Petgrave Nurse Practitioner 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 ID3779915004
PECOS Enrollment IDI20191107001101
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

7

Medicare enrollment records show Nicole Petgrave reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mills Medical Practices, LLC
15 mi
Primary Care
3733 PARK EAST DR STE 220
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 80 clinicians in this Medicare group
NPI 1477701969 (800) 807-6555
Premium Quality Np, LLC
44 mi
Primary Care
555 SPRINGBROOK DR
Medina, OH 44256
  • Reassigned Medicare billing, Ohio enrollment
  • 13 clinicians in this Medicare group
NPI 1891303764 (330) 461-0914
Traveling Nurse Practitioner, LLC
45 mi
General Practice
200 SMOKERISE DR, SUITE 100
Wadsworth, OH 44281
  • Reassigned Medicare billing, Ohio enrollment
  • 27 clinicians in this Medicare group
NPI 1588995849 (330) 590-0847
Caremed Ohio LLC
117 mi
Multi-Specialty
4293 MONROE ST # OH
Toledo, OH 43606
  • Reassigned Medicare billing, Ohio enrollment
  • 36 clinicians in this Medicare group
NPI 1669123949 (718) 534-0689
Ohio Living Palliative Care Greater Toledo LLC
120 mi
Family Medicine
1730 S REYNOLDS RD
Toledo, OH 43614
  • Reassigned Medicare billing, Ohio enrollment
  • 71 clinicians in this Medicare group
NPI 1861981656 (419) 865-1499
Abode Care Partners Al Vb, LLC
224 mi
Nurse Practitioner
5467 CEDAR VILLAGE DR
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 53 clinicians in this Medicare group
NPI 1104695550 (800) 807-6555
Abode Care Partners Ltc Vb, LLC
224 mi
Nurse Practitioner
5467 CEDAR VILLAGE DR
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 35 clinicians in this Medicare group
NPI 1144099318 (800) 807-6555

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 3

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
125 services40 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
65 services30 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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.

84.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.87
Improvement Activities40
Cost45.64

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier13 claims13 services$8.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

KRISTAN J. BRYANT CNP
Nurse Practitioner (Adult Health)
8200 MENTOR HILLS DR
MENTOR, OH 44060
Lake County (216) 938-2763
MRS. JOZEFINA DIAZ NP-C
Nurse Practitioner (Family)
8200 MENTOR HILLS DR
MENTOR, OH 44060
Lake County (440) 256-1496
HEARTLAND OF MENTOR OH, LLC
Skilled Nursing Facility
8200 MENTOR HILLS DR
MENTOR, OH 44060
Lake County (440) 256-1496
LEGACY MENTOR OPERATING COMPANY, LLC
Skilled Nursing Facility
8200 MENTOR HILLS DR
MENTOR, OH 44060
Lake County (440) 256-1496
MENTOR SNF HEALTHCARE LLC
Skilled Nursing Facility
8200 MENTOR HILLS DR
MENTOR, OH 44060
Lake County (000) 000-0000

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 Petgrave's NPI number?

The NPI number for Nicole Petgrave is 1649812405. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Nicole Petgrave located?

Nicole Petgrave practices at 8200 Mentor Hills Dr, Mentor, OH 44060. The listed phone number is (800) 427-1902.

What is Nicole Petgrave's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Petgrave enrolled in Medicare?

Yes. Nicole Petgrave 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.

Which organizations bill Medicare for Nicole Petgrave's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Petgrave reassigns Medicare benefits to 7 organizations: Mills Medical Practices, LLC (Beachwood, OH), Premium Quality Np, LLC (Medina, OH), Traveling Nurse Practitioner, LLC (Wadsworth, OH), Caremed Ohio LLC (Toledo, OH), Ohio Living Palliative Care Greater Toledo LLC (Toledo, OH) and 2 more organizations, listed in the Medicare section above. 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 Petgrave's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Petgrave accept?

Health plans from CareSource, CareSource (Common Ground Healthcare), MedMutual and Molina Healthcare list Nicole Petgrave 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 Nicole Petgrave was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.