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JAMES L NIESE CNP
NPI 1891100376
Nurse Practitioner - Family in Columbus Grove, OH

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
100 PROGRESSIVE DR, COLUMBUS GROVE, OH 45830(419) 659-6010(419) 659-6012 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James L Niese Cnp NPPES

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

JAMES L NIESE CNP (NPI 1891100376) is an individual family provider in Columbus Grove, Ohio, licensed in Ohio (COA.15991-NP) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and is a graduate of University Of Toledo College Of Medicine (2014).

NPPES Registry Identity

NPI1891100376
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES L NIESECredential: CNP
Location Address100 PROGRESSIVE DRColumbus Grove, OH 45830-9620
Mailing AddressPo Box 636930Cincinnati, OH 45263-6930
Phone(419) 659-6010
Fax(419) 659-6012
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2014
Enumeration DateJune 24, 2014
Last NPPES UpdateApril 25, 2016
✔ NPI 1891100376 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 OH · COA.15991-NP
100 PROGRESSIVE DR, Columbus Grove, OH 45830
Open in Google Maps ↗

Other Identifiers 2

MedicaidH376411OH
Medicare PINH376411OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

James L Niese Cnp 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 ID2769602481
PECOS Enrollment IDI20141001000985
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 10

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.

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.
216 services116 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
190 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
134 services102 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
37 services31 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
36 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Mercy Health - Defiance Hospital

Acute Care Hospitals · Defiance, OH
4/5 CMS rating
OwnershipProprietary
CMS Certification Number360270
Location1404 East Second StreetDefiance, OH 43512 · Defiance County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45830 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims780 services$4.36 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier12 claims720 services$0.80 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$26.00 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER J MAAG FNP-BC
Nurse Practitioner (Family)
100 PROGRESSIVE DR
COLUMBUS GROVE, OH 45830
Putnam County (419) 659-6010
ALISA J. MARZEC MD
Family Medicine
100 PROGRESSIVE DR
COLUMBUS GROVE, OH 45830
Putnam County (419) 659-6010

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 James Niese's NPI number?

The NPI number for James Niese is 1891100376. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is James Niese located?

James Niese practices at 100 Progressive Dr, Columbus Grove, OH 45830. The listed phone number is (419) 659-6010.

What is James Niese's specialty?

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

Is James Niese enrolled in Medicare?

Yes. James Niese 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 James Niese accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list James Niese 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 James Niese affiliated with any hospitals?

According to CMS data, James Niese is affiliated with Mercy Health-St Rita's Medical Center and Mercy Health - Defiance Hospital.

When was this NPI record last updated?

The NPPES record for James Niese was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.