TONY L DENICOLA CRNP
NPI 1740681196
Nurse Practitioner - Adult Health in Parma, OH

Q: What is Tony Denicola's NPI number?

The NPI number for Tony Denicola is 1740681196. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Q: What is Tony Denicola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Tony Denicola was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 04, 2014PECOS EnrolledAccepts Medicare Assignment

84.27/100

CMS Quality Rating

12380 PLAZA DR, SUITE 101, PARMA, OH 44130(216) 898-8488(216) 362-0677 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Tony L Denicola Crnp NPPES

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

TONY L DENICOLA CRNP (NPI 1740681196) is an individual adult health provider in Parma, Ohio, licensed in Ohio (16442) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1740681196

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameTONY L DENICOLACredential: CRNP

Location Address12380 PLAZA DR, SUITE 101Parma, OH 44130-1043

Mailing Address12380 Plaza Dr, Suite 101Parma, OH 44130-1043 · (216) 898-8488 · Fax (216) 362-0677

Phone(216) 898-8488

Fax(216) 362-0677

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 4, 2014

✔ NPI 1740681196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in OH · 16442

12380 PLAZA DR, Parma, OH 44130

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Tony L Denicola Crnp 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 ID9133349491

PECOS Enrollment IDI20141008002016

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.

Hospital Affiliations CMS Care Compare

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360041

Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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.

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.

84.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.87

Improvement Activities

Cost

45.64

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims341 services$2.36 avg. paid by Medicare

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255

DME-Hospital Beds · category DB000N

2 suppliers76 claims76 services$48.38 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers13 claims13 services$4.63 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers13 claims13 services$63.33 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$29.00 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers60 claims60 services$18.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MEGAN SOEDER CNP

Nurse Practitioner (Family)

12380 PLAZA DR, SUITE 101
PARMA, OH 44130

Cuyahoga County (216) 898-8488

MICHELE L STRICKLEN MSN

Nurse Practitioner (Family)

12380 PLAZA DR
PARMA, OH 44130

Cuyahoga County (216) 898-8488

CONTINUUM CARE HOME HEALTH, LLC

Home Health

12380 PLAZA DR, SUITE 103
PARMA, OH 44130

Cuyahoga County (216) 898-8444

BREEZE SERVICES LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

12380 PLAZA DR
PARMA, OH 44130

Cuyahoga County (216) 898-8399

LONGEVITY CLINICAL LTC ASSOCIATES OF OHIO, INC.

Nurse Practitioner (Gerontology)

12380 PLAZA DR
PARMA, OH 44130

Cuyahoga County (216) 898-8399

ELAINA R MARSHALL CNP

Nurse Practitioner (Family)

12380 PLAZA DR, SUITE 101
PARMA, OH 44130

Cuyahoga County (216) 898-8488

ORCHARD HEALTHCARE MANAGEMENT , INC

Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)

12380 PLAZA DR, 100
PARMA, OH 44130

Cuyahoga County (216) 898-8440

PATRICIA A VALORE

Nurse Practitioner (Family)

12380 PLAZA DR, SUITE 101
PARMA, OH 44130

Cuyahoga County (216) 898-8488

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 Tony Denicola's NPI number?

The NPI number for Tony Denicola is 1740681196. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Where is Tony Denicola located?

Tony Denicola practices at 12380 Plaza Dr Suite 101, Parma, OH 44130. The listed phone number is (216) 898-8488.

What is Tony Denicola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tony Denicola enrolled in Medicare?

Yes. Tony Denicola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tony Denicola accept?

Health plans from CareSource and MedMutual list Tony Denicola 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.

Is Tony Denicola affiliated with any hospitals?

According to CMS data, Tony Denicola is affiliated with Parma Community General Hospital.

When was this NPI record last updated?

The NPPES record for Tony Denicola was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.