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NICOLE TIEN CHAO MD
NPI 1750320545
Pediatrics in Bloomington, IN

Active since June 06, 2006PECOS Enrolled
350 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 335-2434(812) 335-7604 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2021, Dec 3, 2020, May 7, 2018 (3 updates tracked since 2018).

About Nicole Tien Chao Md NPPES

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

NICOLE TIEN CHAO MD (NPI 1750320545) is an individual pediatrics provider in Bloomington, Indiana, licensed in Indiana (01080306A) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1750320545
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICOLE TIEN CHAOCredential: MD
Location Address350 S LANDMARK AVEBloomington, IN 47403-5001
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(812) 335-2434
Fax(812) 335-7604
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateDecember 15, 20213 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
✔ NPI 1750320545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IN · 01080306A✔ Licensed in SC · 37379
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
350 S LANDMARK AVE, Bloomington, IN 47403
Open in Google Maps ↗

Secondary Practice Location 1

Location 1171 Ashley AveCharleston, SC 29425-8908 · Phone (843) 792-1414

Other Identifiers 1

Medicaid8452278WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Tien Chao Md 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 Reassignments

4

Medicare enrollment records show Nicole Chao reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Southern Indiana Physicians, LLC
6.6 mi
Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
NPI 1013953983 (812) 353-5252
Carolinas Physicians Network Inc
359 mi
Endocrinology, Diabetes & Metabolism
2209 S STERLING ST, SUITE 530
Morganton, NC 28655
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1962784363 (980) 212-7120
The Charlotte-Mecklenburg Hospital Authority
384 mi
General Practice
201 E GROVER ST
Shelby, NC 28150
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1225435126 (980) 487-7427
Carolinas Medical Center
408 mi
Psychiatry
16740 DAVIDSON CONCORD RD, STE 200
Davidson, NC 28036
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1629412184 (704) 801-9200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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.

NICHOLE HICKMAN NP
Nurse Practitioner (Pediatrics)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 335-2434
KALINA GILBERT
Social Worker
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 676-4438
TAMRA R ROBERTSON CPNP
Nurse Practitioner (Pediatrics)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 335-2434
AUDRA JANICE KUNZMAN-MAZDZER MD
Pediatrics
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 335-2434
JEREMY RAINTREE VOYLES LMHC
Counselor (Mental Health)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 332-9874
AMBER M CASSADY NP
Nurse Practitioner (Family)
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 332-9874
JENNIFER NOEL LENNINGTON M.D.
Pediatrics
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 335-2435
NADINE T AL HOMSI MD
Pediatrics
350 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 332-9874

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 Chao's NPI number?

The NPI number for Nicole Chao is 1750320545. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Nicole Chao located?

Nicole Chao practices at 350 S Landmark Ave, Bloomington, IN 47403. The listed phone number is (812) 335-2434.

What is Nicole Chao's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Chao enrolled in Medicare?

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

Which organizations bill Medicare for Nicole Chao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Chao reassigns Medicare benefits to 4 organizations: Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN), Carolinas Physicians Network Inc (Morganton, NC), The Charlotte-Mecklenburg Hospital Authority (Shelby, NC) and Carolinas Medical Center (Davidson, NC). Each 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 Nicole Chao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Chao accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Nicole Chao 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 Nicole Chao was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.