DR. NICOLE NORRIS DEBOLT D.O.
NPI 1912984832
Surgery in Mc Connellsburg, PA

Q: What is Nicole Debolt's NPI number?

The NPI number for Nicole Debolt is 1912984832. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Q: What is Nicole Debolt's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Debolt was last updated on May 7, 2024. 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.

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment

214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233(814) 623-1002(814) 623-2982 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2024, Dec 16, 2019, Oct 25, 2016 (3 updates tracked since 2016).

On this page

About Dr. Nicole Norris Debolt D.o. NPPES

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

DR. NICOLE NORRIS DEBOLT D.O. (NPI 1912984832) is an individual surgery provider in Mc Connellsburg, Pennsylvania, licensed in Pennsylvania (OS015694) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Wellspan Chambersburg Hospital, and maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1912984832

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. NICOLE NORRIS DEBOLTCredential: D.O.

Location Address214 PEACH ORCHARD RDMc Connellsburg, PA 17233-8559

Mailing Address214 Peach Orchard RdMc Connellsburg, PA 17233-8559 · (814) 623-1002 · Fax (814) 623-2982

Phone(814) 623-1002

Fax(814) 623-2982

Sole ProprietorYes

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2002

Enumeration DateDecember 30, 2005

Last NPPES UpdateMay 7, 20243 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1912984832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in PA · OS015694✔ Licensed in HI · DO 1023

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

214 PEACH ORCHARD RD, Mc Connellsburg, PA 17233

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Secondary Practice Location 1

Location 1283 Hospital DrEverett, PA 15537-7020 · Phone (814) 623-1002 · Fax (814) 623-2982

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Norris Debolt D.o. 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 ID2567630064

PECOS Enrollment IDI20110728000446

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

Medicare enrollment records show Nicole Debolt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fulton County Medical Center

Same address

Critical Access

214 PEACH ORCHARD RD
Mc Connellsburg, PA 17233

Reassigned Medicare billing, Pennsylvania enrollment
80 clinicians in this Medicare group

NPI 1326044694 (717) 485-3155

Upmc Community Medicine Inc

20 mi

Pediatrics

14 E 3RD AVE
Everett, PA 15537

Reassigned Medicare billing, Pennsylvania enrollment
1,182 clinicians in this Medicare group

NPI 1689700155 (814) 652-2141

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

Areas of Expertise CMS Part B claims 4

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 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.

65 services57 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

53 services53 patients

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.

47 services41 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390151

Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County

Emergency services Birthing friendly

Fulton County Medical Center

Critical Access Hospitals · Mcconnellsburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391303

Location214 Peach Orchard RoadMcconnellsburg, PA 17233 · Fulton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17233 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

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.

DOUGLAS D STERN DO

General Practice