Individual provider Active NPI

Nichole Tiche, CRNP

  • Family Nurse Practitioner
  • Butler, PA
National Provider Identifier
1104595156
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024356 Issued in PA
Practice address
127 Oneida Valley Rd Ste 202
Butler, PA 16001-2239
Phone
(844) 282-4370
Fax
(724) 431-2288
NPI assigned
Sep 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024356 PA Primary

Addresses

Primary practice location

127 Oneida Valley Rd Ste 202
Butler, PA 16001-2239

Mailing address

127 Oneida Valley Rd Ste 202
Butler, PA 16001-2239
Phone (844) 282-4370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20211029000801 PA Practitioner - Nurse Practitioner 8921496613 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

127 Oneida Valley Rd
Suite 202
Butler, PA 16001-2239
Phone (724) 282-4370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP024356PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers Current Accepting new patients
BHS Faster Care PLLC CurrentSince Sep 26, 2021 Accepting new patients
Butler Medical Providers CurrentSince Jan 1, 2023 Accepting new patients
Butler Medical Providers CurrentSince Jan 1, 2023 Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 206
Butler, PA 16001
Phone (844) 282-4370

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

250B Butler Cmns
Butler, PA 16001
Phone (877) 967-4368

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

127 Oneida Valley Rd
Ste 202
Butler, PA 16001
Phone (844) 282-4370

330 N Point Dr
Ste 301
Clarion, PA 16214
Phone (814) 393-6052

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

21 Franklin Village Mall
Ste 2
Kittanning, PA 16201
Phone (724) 543-1386

21 Franklin Village Mall
Ste 1
Kittanning, PA 16201
Phone (833) 906-0106

2602 Wilmington Rd
Ste 101
New Castle, PA 16105
Phone (724) 658-7300

Interoperability endpoints

  • Direct secure messaging: nichole.tiche@direct-address.net

Organizations & group practices 5

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1104595156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ONEIDA VALLEY RD STE 202",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012239",
            "telephone_number": "844-282-4370",
            "fax_number": "724-431-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ONEIDA VALLEY RD STE 202",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012239",
            "telephone_number": "844-282-4370",
            "fax_number": "724-431-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICHE",
        "first_name": "NICHOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-12",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.