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NICOLE GAUTHIER FNP-C
NPI 1720624869
Nurse Practitioner - Family in Baltimore, MD

Active since November 25, 2019PECOS Enrolled
74.39/100
CMS Quality Rating
601 N CAROLINE ST, BALTIMORE, MD 21287(410) 955-0300 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2023, Nov 25, 2019 (2 updates tracked since 2019).

About Nicole Gauthier Fnp-c NPPES

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

NICOLE GAUTHIER FNP-C (NPI 1720624869) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R195683) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720624869
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE GAUTHIERCredential: FNP-C
Location Address601 N CAROLINE STBaltimore, MD 21287-0006
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266
Phone(410) 955-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 25, 2019
Last NPPES UpdateApril 12, 20232 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1720624869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R195683
601 N CAROLINE ST, Baltimore, MD 21287
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Gauthier Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749616480
PECOS Enrollment IDI20200129000011
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services20 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
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

ROBERT WISE M.D.
Internal Medicine (Pulmonary Disease)
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-9446
DR. JAMSHID DANAIE M.D.
Radiology (Diagnostic Radiology)
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-9441
HEATHER MAUREEN STARMER S.L.P.
Speech-Language Pathologist
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-1080
SARAH NAKIB MD, MPH
Dermatology
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-8662
AMELIA TENBERG SCHETTINI NP-C
Nurse Practitioner (Adult Health)
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MR. CHRISTOPHER B FISHER PA-C
Physician Assistant (Surgical)
601 N CAROLINE ST, #5263
BALTIMORE, MD 21287
Baltimore City (410) 955-9551
MRS. MONICA NGAZOIRE BRYANT PA C
Physician Assistant (Medical)
601 N CAROLINE ST
BALTIMORE, MD 21287
Baltimore City (410) 955-3172
DR. DAWN LAPORTE M.D.
Orthopaedic Surgery (Hand Surgery)
601 N CAROLINE ST, RM 5210
BALTIMORE, MD 21287
Baltimore City (410) 955-3134

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 Gauthier's NPI number?

The NPI number for Nicole Gauthier is 1720624869. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Where is Nicole Gauthier located?

Nicole Gauthier practices at 601 N Caroline St, Baltimore, MD 21287. The listed phone number is (410) 955-0300.

What is Nicole Gauthier's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Gauthier enrolled in Medicare?

Yes. Nicole Gauthier is registered in the Medicare PECOS enrollment system.

Is Nicole Gauthier affiliated with any hospitals?

According to CMS data, Nicole Gauthier is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Nicole Gauthier was last updated on April 12, 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.