Individual provider Active NPI

Nicole Maria Degreg, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1225313331
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.12890-NP Issued in OH
Practice address
1702 Grand Ave
Cincinnati, OH 45214-1502
Phone
(513) 363-4669
Fax
(513) 363-4608
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.12890-NP OH Primary
Registered Nurse 163W00000X RN.345715-COA1 OH
Family Nurse Practitioner 363LF0000X AP121035 TX
Registered Nurse 163W00000X 809192 TX

Addresses

Primary practice location

1702 Grand Ave
Cincinnati, OH 45214-1502

Mailing address

3101 Burnet Ave
Cincinnati, OH 45229-3014

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
I20140905002335 OH Practitioner - Nurse Practitioner 0143478768 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.345715-COA1OHMDRegistered Nurse
809192TXMDRegistered Nurse
COA.12890-NPOHMDFamily Nurse Practitioner
AP121035TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Cincinnati Current Accepting new patients
City of Cincinnati CurrentSince Aug 1, 2014 Accepting new patients
City of Cincinnati CurrentSince Aug 1, 2014 Accepting new patients
City of Cincinnati CurrentSince Aug 1, 2014 Accepting new patients
City of Cincinnati Current Accepting new patients

Locations

1702 Grand Ave
Cincinnati, OH 45214
Phone (513) 363-4600

1525 Elm St
Cincinnati, OH 45202
Phone (513) 357-7308

2750 Beekman St
Cincinnati, OH 45225
Phone (513) 352-3192

2030 Fairfax Ave
Cincinnati, OH 45207
Phone (513) 363-7800

1930 Fricke Rd
Cincinnati, OH 45225
Phone (513) 357-7208

2520 Madison Rd
Cincinnati, OH 45208
Phone (513) 363-9110

2411 Baltimore Ave
Cincinnati, OH 45225
Phone (513) 357-7208

3917 Spring Grove Ave
Cincinnati, OH 45223
Phone (513) 357-7421

3101 Burnet Ave
Cincinnati, OH 45229
Phone (513) 357-7289

2121 Hatmaker St
Cincinnati, OH 45204
Phone (513) 363-0000

2136 W 8th St
Cincinnati, OH 45204
Phone (513) 357-2700

5818 Madison Rd
Cincinnati, OH 45227
Phone (513) 271-6089

2146 Ferguson Rd
Cincinnati, OH 45238
Phone (513) 363-7200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1225313331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 GRAND AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452141502",
            "telephone_number": "513-363-4669",
            "fax_number": "513-363-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGREG",
        "first_name": "NICOLE",
        "middle_name": "MARIA",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.12890-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.345715-COA1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121035",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "809192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.