Individual provider Active NPI

Nicole Sbrocchi, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Maumee, OH
National Provider Identifier
1184376758
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0030629 Issued in OH
Practice address
1574 Henthorne Dr Ste C
Maumee, OH 43537-3921
Phone
(419) 517-1737
Fax
(419) 517-0801
NPI assigned
Jan 25, 2022
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0030629 OH Primary
Chiropractor 111N00000X DC-01647 OH

Addresses

Primary practice location

1574 Henthorne Dr Ste C
Maumee, OH 43537-3921

Mailing address

1574 Henthorne Dr Ste C
Maumee, OH 43537-3921
Phone (419) 517-1737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220429001858 OH Practitioner - Nurse Practitioner 8123415643 Reassigns benefits to 1 organization

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
Health and Pain Care LLCGroup PAC ID 1153718226, 2 clinicians

Practice addresses (Care Compare)

4334 W Central Ave
Suite 210
Toledo, OH 43615-1679
Phone (419) 517-1737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030629OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Pain Care LLC Multi-Specialty CurrentSince Feb 1, 2022 Accepting new patients
Chiropractic Neurology and Metabolism Center, LLC Multi-Specialty CurrentSince Feb 1, 2022 Accepting new patients

Locations

1574 Henthorne Dr
Ste C
Maumee, OH 43537
Phone (419) 517-1737

4334 W Central Ave
Ste 210
Toledo, OH 43615
Phone (419) 517-1737

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1184376758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 HENTHORNE DR STE C",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373921",
            "telephone_number": "419-517-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 HENTHORNE DR STE C",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373921",
            "telephone_number": "419-517-1737",
            "fax_number": "419-517-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SBROCCHI",
        "first_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0030629",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-01647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.