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NICHOLE A MCCOY APRN-CNP, PMHNP-BC
NPI 1710648480
Nurse Practitioner - Psychiatric/Mental Health in Fairborn, OH

Active since January 05, 2022PECOS Enrolled
188 W HEBBLE AVE, FAIRBORN, OH 45324(937) 754-5911 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2023, Nov 25, 2022, Jan 5, 2022 (3 updates tracked since 2022).

About Nichole A Mccoy Aprn-cnp, Pmhnp-bc NPPES

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

NICHOLE A MCCOY APRN-CNP, PMHNP-BC (NPI 1710648480) is an individual psychiatric/mental health provider in Fairborn, Ohio, licensed in Ohio (0030582) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Alexandria.

NPPES Registry Identity

NPI1710648480
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICHOLE A MCCOYCredential: APRN-CNP, PMHNP-BC
Location Address188 W HEBBLE AVEFairborn, OH 45324-4960
Mailing AddressPo Box 3095Dublin, OH 43016-0046
Phone(937) 754-5911
Sole ProprietorNo
Enumeration DateJanuary 5, 2022
Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1710648480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OH · 0030582✔ Licensed in OH · LE-00039674
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0030582 (OH)
188 W HEBBLE AVE, Fairborn, OH 45324
Open in Google Maps ↗

Secondary Practice Location 1

Location 116 N Main StWest Alexandria, OH 45381-1191 · Phone (513) 416-3206

Other Identifiers 3

Other2021184747OH · Ancc
Other402430OH · Ohio Board Of Nursing Rn
Other0030582OH · Ohio Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance 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 (PECOS)

Nichole A Mccoy Aprn-cnp, Pmhnp-bc 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 45324 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.

MR. CORNEILUS HOOKFIN SR.
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 346-6055
MR. BRANDON MCVEY
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 791-1427
JASON D MILLER
Case Management
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 450-7099
MELODY C MITCHELL
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 754-5911
KIERRA TAYLOR MSW
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 754-5911
CHARLES ROBERT WICK
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 226-9787
CODY WRIGHT
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 754-5911
PAUL MILLER
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 831-1468

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 Mccoy's NPI number?

The NPI number for Nichole Mccoy is 1710648480. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Nichole Mccoy located?

Nichole Mccoy practices at 188 W Hebble Ave, Fairborn, OH 45324. The listed phone number is (937) 754-5911.

What is Nichole Mccoy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nichole Mccoy enrolled in Medicare?

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

What insurance does Nichole Mccoy accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Insurance Corporation of Ohio and 1 other insurer list Nichole Mccoy 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 Mccoy was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.