Active NPI
Nicole Lara, FNP
- Family Nurse Practitioner
- Hilliard, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0037617
- Practice address
- 4961 Roberts Rd
Hilliard, OH 43026-8129 - Phone
- (866) 389-2727
- NPI assigned
- Nov 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0037617 | OH | Primary |
Addresses
Primary practice location
4961 Roberts Rd
Hilliard, OH 43026-8129
Mailing address
4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250107003097 | OH | Practitioner - Nurse Practitioner | 4981132784 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0037617 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Physician Services of Ohio LLC | Current | Accepting new patients | |
| CH Specialty Services Oh LLC | Current | Accepting new patients | |
| Curana Health of Ohio | Current | Accepting new patients |
Locations
3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276
3366 Riverside Dr
Ste 103
Upper Arlington, OH 43221
Phone (617) 958-5697
9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1538899638
OH
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Dayton, OH
- NPI 1699879601
-
- Home Health Agency
- Portsmouth, OH
- NPI 1699886382
-
- Community Based Hospice Care Agency
- Columbus, OH
- NPI 1780341453
Hospice
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Preferred Physician Services of Ohio LLC
Practice addresses (Care Compare)
9200 Worthington Rd
Suite 300
Westerville, OH 43082-7240
Phone (337) 991-9276
Hospital & facility affiliations
- Hallmark Home Care Inc
- Buckeye Home Health Care, LLC
- Suncrest Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1194540302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4961 ROBERTS RD",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430268129",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4961 ROBERTS RD",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430268129",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "NICOLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0037617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.