NICHOL A BOBERG MED, PCC-S
NPI 1730487687
Counselor - Professional in Wilder, KY

Active since March 02, 2011PECOS Enrolled
400 LAKEVIEW DR UNIT 206, WILDER, KY 41071(859) 816-7475 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nichol A Boberg Med, Pcc-s NPPES

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

NICHOL A BOBERG MED, PCC-S (NPI 1730487687) is an individual professional provider in Wilder, Kentucky, licensed in Kentucky (1268) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730487687
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICHOL A BOBERGCredential: MED, PCC-S
Location Address400 LAKEVIEW DR UNIT 206Wilder, KY 41071-5310
Mailing Address400 Lakeview Dr Unit 206Wilder, KY 41071-5310 · (859) 816-7475
Sole ProprietorNo
Enumeration DateMarch 2, 2011
✔ NPI 1730487687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in KY · 1268✔ Licensed in OH · E.8044-SUPV
400 LAKEVIEW DR UNIT 206, Wilder, KY 41071

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichol A Boberg Med, Pcc-s 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.

Medicare Billing Reassignment

Medicare enrollment records show Nichol Boberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2621 VICTORY PKWY
Cincinnati, OH 45206
  • Reassigned Medicare billing, Ohio enrollment
  • 111 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nichol Boberg's NPI number?

The NPI number for Nichol Boberg is 1730487687. It was assigned to this individual provider in the NPPES registry on March 2, 2011.

Where is Nichol Boberg located?

Nichol Boberg practices at 400 Lakeview Dr Unit 206, Wilder, KY 41071. The listed phone number is (859) 816-7475.

What is Nichol Boberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nichol Boberg enrolled in Medicare?

Yes. Nichol Boberg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nichol Boberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichol Boberg reassigns Medicare benefits to Talbert House (Cincinnati, OH). The 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 Nichol Boberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nichol Boberg accept?

Health plans from AmeriHealth Caritas Next list Nichol Boberg 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 Nichol Boberg was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.