Nichole Marie Lynch, MSN, APRN-CNP
Individual provider Active NPI Family Nurse Practitioner · Perrysburg, OH
NPI 1144870460 · NPPES record last updated Sep 18, 2019
Key facts
- NPI
- 1144870460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.025392 (OH)
- Practice address
- 10540 Fremont Pike
Perrysburg, OH 43551-3356 - Phone
- (419) 252-6018
- Fax
- (419) 531-2664
- NPI assigned
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Defiance Hospital Inc.
Toledo Pain Services, PLL
Fostoria Hospital Association
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
- Fostoria Community Hospital
- Promedica Defiance Regional Hospital
- Promedica Toledo Hospital
- Memorial Hospital
- Bay Park Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191025000705 | OH | Practitioner - Nurse Practitioner | 1254663131 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.025392 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Pain Services, PLL | Current |
Accepting new patients | |
| Toledo Pain Services, PLL | Current |
Accepting new patients | |
| Defiance Hospital Inc | Current |
Accepting new patients | |
| Defiance Hospital Inc. | Current |
Accepting new patients | |
| Fostoria Hospital Association | Current |
Accepting new patients | |
| Defiance Hospital, Inc. | Current | Accepting new patients | |
| Fostoria Hospital Association | Current |
Accepting new patients | |
| HCR Manorcare Medical Services of Florida LLC | Current |
Accepting new patients | |
| Defiance Regional Medical Center | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | 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
Ste 206
Fostoria, OH 44830
Phone (419) 435-5454
501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734
846 S Coy Rd
Ste 100
Oregon, OH 43616
846 S Coy Rd
Oregon, OH 43616
Phone (419) 693-9459
1090 W South Boundary St
Perrysburg, OH 43551
Phone (419) 873-8280
10540 Fremont Pike
Perrysburg, OH 43551
Phone (419) 874-3578
5151 Monroe St
Ste 104
Toledo, OH 43623
3400 Meijer Dr
Toledo, OH 43617
Phone (419) 531-3500
333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909
Interoperability endpoints
- toledopainservices.nicholemlynch@133244.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.025392 | OH | Yes |
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
Other providers in Perrysburg, OH
- John T Lovas
- Korrin Elizabeth Lovette
- Brandy L Lowery
- Lori Lux
- Lwa Transportation LLC
- Helen Catherine Mabry
- April Macgeorge
- Jacob N Maciejewski
- Jessica Mackay
- Ashleigh Mackey
All providers in Perrysburg, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.