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NICOLE ADAMS
NPI 1922382530
Family Medicine in Sharon, PA

Active since September 30, 2011PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
63 PITT ST, SHARON, PA 16146(724) 342-6604(724) 342-1601 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2025, Apr 8, 2025, Oct 25, 2023 and 1 more (4 updates tracked since 2021).

About Nicole Adams NPPES

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

NICOLE ADAMS (NPI 1922382530) is an individual family medicine provider in Sharon, Pennsylvania, licensed in Pennsylvania (OS017338) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Upmc Horizon, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2011).

NPPES Registry Identity

NPI1922382530
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE ADAMS
Location Address63 PITT STSharon, PA 16146-2102
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (724) 342-6604 · Fax (724) 342-1601
Phone(724) 342-6604
Fax(724) 342-1601
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2011
Enumeration DateSeptember 30, 2011
Last NPPES UpdateJuly 22, 20254 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1922382530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS017338✔ Licensed in OH · 34.016847
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
63 PITT ST, Sharon, PA 16146
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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 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

Nicole Adams 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 ID3274855929
PECOS Enrollment IDI20231016002305
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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
171 services61 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
102 services46 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
98 services47 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
46 services35 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
36 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Sharon Regional Health System

Acute Care Hospitals · Sharon, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390211
Location740 East State StreetSharon, PA 16146 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16146 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers14 claims14 services$8.29 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims78 services$1.62 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$3.13 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$12.46 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.

GEORGE CAPELLA GARROW MD
Internal Medicine
63 PITT ST
SHARON, PA 16146
Mercer County (724) 342-6604
TONIA L SKAKALSKI D.O.
Obstetrics & Gynecology
63 PITT ST
SHARON, PA 16146
Mercer County (724) 981-4434
EASTON MARIA MCKINNEY CRNP
Nurse Practitioner (Family)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 342-6604
STEPHEN FREDRICK SEDMAK
Counselor (Professional)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 704-7272
JESSICA MCCANN
Nurse Practitioner (Family)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 342-6604
TERRI LYNN PEARS LCSW
Social Worker (Clinical)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 704-7272
ANNA STRIGHT
Counselor (Mental Health)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 704-7272
RICHARD F HUMPHREY CRNP
Nurse Practitioner (Family)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 981-4434

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 Adams's NPI number?

The NPI number for Nicole Adams is 1922382530. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Where is Nicole Adams located?

Nicole Adams practices at 63 Pitt St, Sharon, PA 16146. The listed phone number is (724) 342-6604.

What is Nicole Adams's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Adams enrolled in Medicare?

Yes. Nicole Adams 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 Nicole Adams accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Nicole Adams 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 Nicole Adams affiliated with any hospitals?

According to CMS data, Nicole Adams is affiliated with Upmc Horizon and Sharon Regional Health System.

When was this NPI record last updated?

The NPPES record for Nicole Adams was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.