Individual provider Active NPI

Nicole Lara, FNP

  • Family Nurse Practitioner
  • Hilliard, OH
National Provider Identifier
1194540302
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0037617 Issued in OH
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

Updated by the provider on Nov 21, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107003097 OH Practitioner - Nurse Practitioner 4981132784 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0037617OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Physician Services of Ohio LLC CurrentSince Jul 8, 2025 Accepting new patients
CH Specialty Services Oh LLC CurrentSince Jul 8, 2025 Accepting new patients
Curana Health of Ohio CurrentSince Jul 8, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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

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 66 clinicians

Practice addresses (Care Compare)

9200 Worthington Rd
Suite 300
Westerville, OH 43082-7240
Phone (337) 991-9276

Hospital & facility affiliations

  • Hallmark Home Care Inc Home health agency, Portsmouth, OH, CCN 367571
  • Buckeye Home Health Care, LLC Home health agency, Dayton, OH, CCN 368197
  • Suncrest Hospice Hospice, Columbus, OH, CCN 361722

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

Verify at the official NPI Registry.