NICOLE ANN ODLUM DO
NPI 1669041067
Family Medicine in Newburgh, IN

Q: What is Nicole Odlum's NPI number?

The NPI number for Nicole Odlum is 1669041067. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Q: What is Nicole Odlum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Odlum was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since June 21, 2021PECOS EnrolledAccepts Medicare Assignment

4011 GATEWAY BLVD, MEDICAL OFFICE BUILDING 3 SUITE 3000, NEWBURGH, IN 47630(812) 858-9400 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2024, Aug 13, 2024, Jun 21, 2021 (3 updates tracked since 2021).

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About Nicole Ann Odlum Do NPPES

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

NICOLE ANN ODLUM DO (NPI 1669041067) is an individual family medicine provider in Newburgh, Indiana, licensed in Indiana (11021918A) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1669041067

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE ANN ODLUMCredential: DO

Location Address4011 GATEWAY BLVD, MEDICAL OFFICE BUILDING 3 SUITE 3000Newburgh, IN 47630

Mailing Address4011 Gateway Blvd, Medical Office Building 3 Suite 3000Newburgh, IN 47630 · (812) 858-9400

Phone(812) 858-9400

Sole ProprietorNo

Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2021

Enumeration DateJune 21, 2021

Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1669041067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 11021918A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4011 GATEWAY BLVD, Newburgh, IN 47630

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Other Identifiers 1

Other02007176AIN · State Medical License

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 Ann Odlum Do 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 ID3870995400

PECOS Enrollment IDI20240831000180

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

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.

16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Women's Hospital The

Acute Care Hospitals · Newburgh, IN

5/5 CMS rating

OwnershipProprietary

CMS Certification Number150149

Location4199 Gateway BlvdNewburgh, IN 47630 · Warrick County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

DEACONESS CLINIC INC

Psychiatry & Neurology (Neurology)