Nicole Leigh Niese, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004102 Issued in OH

Practice address

3028 Navarre Ave
Oregon, OH 43616-3308

Phone

(419) 697-6850

Fax

(419) 697-6861

NPI assigned

Sep 15, 2014

Last updated

Feb 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nniese155901@direct.wvuhsdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Association

  dba Jackson General Hospital

  • Critical Access Hospital
  • Ripley, WV
  • NPI 1649277476
  Medicare reassignment NPD
• Community Health Association

  dba Jackson General Clinic

  • Clinic/Center
  • Ripley, WV
  • NPI 1134417975
  NPD
• Community Health Association

  dba JGH Therapy and SportsCare

  • Physical Therapy Clinic/Center
  • Ravenswood, WV
  • NPI 1124369780
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1023419504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 N WYNN RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436161542",
            "telephone_number": "304-532-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163308",
            "telephone_number": "419-697-6850",
            "fax_number": "419-697-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIESE",
        "first_name": "NICOLE",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "004102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nniese155901@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "122 Pinnell St",
            "city": "Ripley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "252719101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nniese155901@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "122 Pinnell St",
            "city": "Ripley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "252719101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nniese155901@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "122 Pinnell St",
            "city": "Ripley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "252719101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Neal
• Neil Saunders DPM
• Maureen Nelson, DO
• Emma Kay Newble, CNP
• Susan Newton, MD
• Kristina Bridget Nissen, OTR
• Vijit Nopkhun, M.D.
• Northwest Ohio Pain Management Associates, LTD.
• Northwest Ohio Primary Care Physicians, Inc
• Northwest Ohio Primary Care Physicians, Inc.

• Physician Assistant in Oregon, OH
• Providers in Oregon, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.