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NICHOLE FALCONE
NPI 1851948616
Nurse Practitioner in Willoughby, OH

Active since August 26, 2019PECOS Enrolled
38882 MENTOR AVE, WILLOUGHBY, OH 44094(440) 578-8200 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2023, Aug 26, 2019 (2 updates tracked since 2019).

About Nichole Falcone NPPES

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

NICHOLE FALCONE (NPI 1851948616) is an individual nurse practitioner in Willoughby, Ohio, licensed in Ohio (APRN.CNP.0035183) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851948616
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICHOLE FALCONE
Location Address38882 MENTOR AVEWilloughby, OH 44094-7875
Mailing Address38882 Mentor AveWilloughby, OH 44094-7875 · (440) 578-8200
Phone(440) 578-8200
Sole ProprietorYes
Enumeration DateAugust 26, 2019
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1851948616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.0035183
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN387443 (OH)
38882 MENTOR AVE, Willoughby, OH 44094
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichole Falcone 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 Nichole Falcone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signature Health, Inc
Same address
Mental Health (Including Community Mental Health Center)
38876 MENTOR AVE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 342 clinicians in this Medicare group
NPI 1477575348 (440) 953-9999

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 44094 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.

KRYSTI CAMPLESE
Case Manager/Care Coordinator
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
REGINA QUIGLEY
Case Manager/Care Coordinator
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
TATIANA DWYER
Counselor
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
JAMIEE K IMBROGNO
Social Worker (Clinical)
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (404) 953-9999
ELIZABETH KALLAY
Case Management
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 578-8200
SARAH WILLIAMS
Social Worker
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 578-8200
DELISHIA D PORTER-WASHINGTON
Technician, Health Information (Assistant Record Technician)
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999
OCTAVEYA LOWE
Community Health Worker
38882 MENTOR AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9999

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 Falcone's NPI number?

The NPI number for Nichole Falcone is 1851948616. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Nichole Falcone located?

Nichole Falcone practices at 38882 Mentor Ave, Willoughby, OH 44094. The listed phone number is (440) 578-8200.

What is Nichole Falcone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nichole Falcone enrolled in Medicare?

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

Which organization bills Medicare for Nichole Falcone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Falcone reassigns Medicare benefits to Signature Health, Inc (Willoughby, 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 Nichole Falcone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nichole Falcone accept?

Health plans from CareSource list Nichole Falcone 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 Falcone was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.