NICOLE CINCINNATI C.R.N.P.
NPI 1952367237
Nurse Practitioner - Family in Wyomissing, PA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
1030 REED AVENUE, SUITE 114, WYOMISSING, PA 19610(610) 376-7365(610) 376-1320 Get Directions Write a Review

NPPES record last updated: January 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 15, 2017, Nov 9, 2016 (2 updates tracked since 2016).

About Nicole Cincinnati C.r.n.p. NPPES

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

NICOLE CINCINNATI C.R.N.P. (NPI 1952367237) is an individual family provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (SP007986) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1952367237
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE CINCINNATICredential: C.R.N.P.
Location Address1030 REED AVENUE, SUITE 114Wyomissing, PA 19610-2029
Mailing Address1030 Reed Avenue, Suite 114Wyomissing, PA 19610-2029 · (610) 376-7365 · Fax (610) 376-1320
Fax(610) 376-1320
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 25, 2006
Last NPPES UpdateJanuary 15, 20172 updates tracked since enumeration
NPI 1952367237 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 PA · SP007986
1030 REED AVENUE, Wyomissing, PA 19610

Other Identifiers 4

Medicare UPINQ09988
Medicaid101355441PA
Medicare PIN077034GDFPA
Medicare ID-Type Unspecified077034PA

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 Cincinnati C.r.n.p. 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 ID7810984002
PECOS Enrollment IDI20040429000137
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 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 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.
43 services40 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
28 services25 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
19 services19 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
96%28 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
15%27 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers23 claims3,090 services$0.28 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers21 claims21 services$18.02 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers14 claims14 services$11.72 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 6

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

Internal Medicine (Nephrology)
1030 REED AVENUE, SUITE 114
WYOMISSING, PA 19610
Internal Medicine (Nephrology)
1030 REED AVENUE, SUITE 114
WYOMISSING, PA 19610
Internal Medicine (Nephrology)
1030 REED AVENUE, SUITE 114
WYOMISSING, PA 19610
Allergy & Immunology (Allergy)
1030 REED AVENUE, SUITE 108
WYOMISSING, PA 19610
Internal Medicine (Nephrology)
1030 REED AVENUE, SUITE 114
WYOMISSING, PA 19610
Internal Medicine (Nephrology)
1030 REED AVENUE, SUITE 114
WYOMISSING, PA 19610

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 Cincinnati's NPI number?

The NPI number for Nicole Cincinnati is 1952367237. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Nicole Cincinnati located?

Nicole Cincinnati practices at 1030 Reed Avenue Suite 114, Wyomissing, PA 19610. The listed phone number is (610) 376-7365.

What is Nicole Cincinnati's specialty?

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

Is Nicole Cincinnati enrolled in Medicare?

Yes. Nicole Cincinnati 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.

Is Nicole Cincinnati affiliated with any hospitals?

According to CMS data, Nicole Cincinnati is affiliated with Reading Hospital and Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Nicole Cincinnati was last updated on January 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.