Individual provider Active NPI

Nicole Fiore

  • Acute Care Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1215546247
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.026303 Issued in OH
Practice address
3533 Southern Blvd Ste 5800
Kettering, OH 45429-1263
Phone
(937) 439-3600
Fax
(937) 439-3786
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.026303 OH Primary

Addresses

Primary practice location

3533 Southern Blvd Ste 5800
Kettering, OH 45429-1263

Mailing address

3533 Southern Blvd Ste 5800
Kettering, OH 45429-1263
Phone (937) 439-3600

Other practice location 1

3000 Miamisburg Centerville Rd Ste 405
Miamisburg, OH 45342-7615
Phone (937) 439-3600

Other identifiers 3

IdentifierTypeStateIssuer
Q00303454OtherOHRRMEDICARE
0475827MedicaidOH
H760892OtherOHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC, KY, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220331000168 OH Practitioner - Nurse Practitioner 8325434343 Reassigns benefits to 5 organizations
I20260228000839 NC Practitioner - Nurse Practitioner 8325434343 Reassigns benefits to 2 organizations
I20260324003547 KY Practitioner - Nurse Practitioner 8325434343 Reassigns benefits to 2 organizations
I20260415002757 IN Practitioner - Nurse Practitioner 8325434343 Reassigns benefits to 2 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
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

30 E Apple St
Suite 6221
Dayton, OH 45409-2939
Phone (937) 208-6630

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth Midwest Inc CurrentSince Feb 1, 2026 Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 1, 2024 Accepting new patients
Eventus WH Southeast, LLC CurrentSince Feb 1, 2026 Accepting new patients
Dayton Lung and Sleep Medicine Inc CurrentSince Feb 14, 2022 Accepting new patients
Eventus Wholehealth, PLLC Acute Care CurrentSince Feb 1, 2026 Accepting new patients
Easy Health Medical Solutions PC CurrentSince May 1, 2025 Accepting new patients
Pulmonary Medicine of Dayton Inc. CurrentSince Aug 1, 2022 Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 1, 2024 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jan 1, 2023 Accepting new patients
Vpa PC CurrentSince Jan 1, 2023 Accepting new patients
Premier Health Specialists Inc Current Accepting new patients
Extended Care Specialists, Inc CurrentSince Feb 1, 2026 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024

8398 Mississippi St
Fl 2
Merrillville, IN 46410

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

30 E Apple St
Ste 6221
Dayton, OH 45409
Phone (937) 208-6630

1 W Winter St
Ste 2000
Delaware, OH 43015

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

3533 Southern Blvd
Ste 5800
Kettering, OH 45429
Phone (937) 439-3600

4000 Miamisburg Centerville Rd
Ste 405
Miamisburg, OH 45342
Phone (937) 439-3600

3033 Kettering Blvd
Ste 100
Moraine, OH 45439
Phone (937) 293-2133

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Interoperability endpoints

  • Direct secure messaging: nifiore@yourcarecommunity.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1215546247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD STE 5800",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291263",
            "telephone_number": "937-439-3600",
            "fax_number": "937-439-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD STE 5800",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291263",
            "telephone_number": "937-439-3600",
            "fax_number": "937-439-3786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Miamisburg Centerville Rd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453427615",
            "country_code": "US",
            "telephone_number": "937-439-3600",
            "fax_number": "937-439-3786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIORE",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.026303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "Q00303454",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475827",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H760892",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.