NPIMap

Individual provider Active NPI

Nichole Marie Lynch, MSN, APRN-CNP

  • Family Nurse Practitioner
  • Perrysburg, OH
National Provider Identifier
1144870460
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025392 Issued in OH
Practice address
10540 Fremont Pike
Perrysburg, OH 43551-3356
Phone
(419) 252-6018
Fax
(419) 531-2664
NPI assigned
Sep 18, 2019
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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 APRN.CNP.025392 OH Primary

Addresses

Primary practice location

10540 Fremont Pike
Perrysburg, OH 43551-3356

Mailing address

333 N Summit St FL 7
Toledo, OH 43604-2615
Phone (800) 427-1902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025000705 OH Practitioner - Nurse Practitioner 1254663131 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Defiance Hospital Inc.Group PAC ID 6305754557, 4 clinicians
Toledo Pain Services, PLLGroup PAC ID 8921912189, 19 clinicians
Fostoria Hospital AssociationGroup PAC ID 9638087851, 9 clinicians

Practice addresses (Care Compare)

1200 Ralston Ave
Defiance, OH 43512-9908
Phone (419) 783-6955

3400 Meijer Dr
Toledo, OH 43617-1166
Phone (419) 843-1369

501 Van Buren St
Fostoria, OH 44830-1534
Phone (419) 435-7734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fostoria Hospital Association CurrentSince Sep 14, 2022 Accepting new patients
Toledo Pain Services, PLL CurrentSince Nov 13, 2021 Accepting new patients
Fostoria Hospital Association CurrentSince Sep 14, 2022 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Oct 14, 2019 Accepting new patients
Toledo Pain Services, PLL CurrentSince Nov 13, 2021 Accepting new patients
Defiance Hospital, Inc. Current Accepting new patients
Defiance Hospital Inc. CurrentSince Nov 15, 2024 Accepting new patients
Defiance Hospital Inc CurrentSince Nov 15, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Defiance Regional Medical Center Past Accepting new patients

Locations

L2540
Columbus, OH 43260

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

455 W 4th St
Ste 10
Fostoria, OH 44830
Phone (419) 436-8320

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

501 Van Buren St
Ste 206
Fostoria, OH 44830
Phone (419) 435-5454

846 S Coy Rd
Oregon, OH 43616
Phone (419) 693-9459

846 S Coy Rd
Ste 100
Oregon, OH 43616

10540 Fremont Pike
Perrysburg, OH 43551
Phone (419) 874-3578

1090 W South Boundary St
Perrysburg, OH 43551
Phone (419) 873-8280

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

3400 Meijer Dr
Toledo, OH 43617
Phone (419) 531-3500

5151 Monroe St
Ste 104
Toledo, OH 43623

Interoperability endpoints

  • Direct secure messaging: toledopainservices.nicholemlynch@133244.advancedmd-direct.com

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1144870460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 7",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "800-427-1902",
            "fax_number": "419-531-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 FREMONT PIKE",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513356",
            "telephone_number": "419-252-6018",
            "fax_number": "419-531-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "NICHOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.