Active NPI
Nicole J Danner, D.O.
- Neurology Physician
- Bellevue, OH
National Provider Identifier
1245202050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 34008317
- Practice address
- 5433 State Route 113
Bellevue, OH 44811-9708 - Phone
- (419) 483-2403
- Fax
- (429) 483-8418
- NPI assigned
- Feb 6, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 34008317 | OH | Primary |
Addresses
Primary practice location
5433 State Route 113
Bellevue, OH 44811-9708
Mailing address
5433 State Route 113
Bellevue, OH 44811-9708
Phone (419) 483-2403
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2576743 | Medicaid | OH | |
| 11449810 | Other | OH | CAQH |
| P00242190 | Other | OH | RAILROAD MEDICARE |
| 000000364458 | Other | OH | ANTHEM INS |
| 7057683 | Other | OH | AETNA INS |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050610000470 | OH | Practitioner - Neurology | 5193769115 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Ohio University, College of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7400
Hospital & facility affiliations
- Firelands Regional Medical Center
- Bellevue Hospital
- Fisher-Titus Hospital
- Mercy Health - Willard Hospital
- Magruder Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 59.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34008317 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Coast Professional Company, LLC | Current | Accepting new patients | |
| North Coast Professional Company, LLC | Current | Accepting new patients |
Locations
5433 State Route 113
Bellevue, OH 44811
Phone (567) 256-3450
703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785
1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455
703 Tyler St
Ste 150
Sandusky, OH 44870
Phone (419) 625-8722
703 Tyler St
Ste 353
Sandusky, OH 44870
1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 933-2811
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Fremont, OH
- NPI 1407393242
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tiffin, OH
- NPI 1154372381
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandusky, OH
- NPI 1629028600
Hospital
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, OH
- NPI 1992756118
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1245202050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5433 STATE ROUTE 113",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "448119708",
"telephone_number": "419-483-2403",
"fax_number": "419-483-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5433 STATE ROUTE 113",
"city": "BELLEVUE",
"state": "OH",
"postal_code": "448119708",
"telephone_number": "419-483-2403",
"fax_number": "429-483-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANNER",
"first_name": "NICOLE",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "34008317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2576743",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11449810",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00242190",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INS",
"identifier": "000000364458",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS",
"identifier": "7057683",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.