NICHOLE BROEKHUIS RN, BSN, CRNP
NPI 1649851734
Nurse Practitioner - Pediatrics in Dayton, OH

Active since April 20, 2021PECOS Enrolled
721 MIAMI CHAPEL RD, DAYTON, OH 45417(937) 281-6800 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Jan 9, 2023, Oct 19, 2022 and 1 more (4 updates tracked since 2021).

About Nichole Broekhuis Rn, Bsn, Crnp NPPES

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

NICHOLE BROEKHUIS RN, BSN, CRNP (NPI 1649851734) is an individual pediatrics provider in Dayton, Ohio, licensed in Ohio (APRN.CNP0036317) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1649851734
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNICHOLE BROEKHUISCredential: RN, BSN, CRNP
Location Address721 MIAMI CHAPEL RDDayton, OH 45417-4650
Mailing Address721 Miami Chapel RdDayton, OH 45417-4650 · (937) 901-2777
Sole ProprietorYes
Enumeration DateApril 20, 2021
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1649851734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in OH · APRN.CNP0036317 Licensed in AL · 1-185641
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-185641 (AL), RN.423570 (OH)
721 MIAMI CHAPEL RD, Dayton, OH 45417

Secondary Practice Location 1

Location 1700 Childrens DrColumbus, OH 43205-2664 · Phone (937) 901-2777

Accepted 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)

Nichole Broekhuis Rn, Bsn, Crnp 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 45417 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.

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.

Dentist
721 MIAMI CHAPEL RD
DAYTON, OH 45417
Nurse Practitioner (Family)
721 MIAMI CHAPEL RD
DAYTON, OH 45417
Nurse Practitioner (Family)
721 MIAMI CHAPEL RD
DAYTON, OH 45417
Pharmacist
721 MIAMI CHAPEL RD
DAYTON, OH 45417
Pharmacist (Ambulatory Care)
721 MIAMI CHAPEL RD
DAYTON, OH 45417
Nurse Practitioner (Family)
721 MIAMI CHAPEL RD
DAYTON, OH 45417
Pharmacist (Ambulatory Care)
721 MIAMI CHAPEL RD
DAYTON, OH 45417
Pharmacy (Clinic Pharmacy)
721 MIAMI CHAPEL RD
DAYTON, OH 45417

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 Nichole Broekhuis's NPI number?

The NPI number for Nichole Broekhuis is 1649851734. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Nichole Broekhuis located?

Nichole Broekhuis practices at 721 Miami Chapel Rd, Dayton, OH 45417. The listed phone number is (937) 281-6800.

What is Nichole Broekhuis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nichole Broekhuis enrolled in Medicare?

Yes. Nichole Broekhuis is registered in the Medicare PECOS enrollment system.

What insurance does Nichole Broekhuis accept?

Health plans from CareSource, MedMutual and UnitedHealthcare list Nichole Broekhuis 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 Nichole Broekhuis was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.