Individual provider Active NPI

Nicole Elizabeth Nowling, CNM

  • Advanced Practice Midwife
  • Oregon, OH
National Provider Identifier
1316828817
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704349751 Issued in MI
Practice address
2751 Bay Park Dr Ste 300
Oregon, OH 43616-4922
Phone
(419) 690-8880
NPI assigned
Sep 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704349751 MI Primary

Addresses

Primary practice location

2751 Bay Park Dr Ste 300
Oregon, OH 43616-4922

Mailing address

446 Hollywood Dr
Saline, MI 48176-1112

Other names 1

  • Nicole Elizabeth Stadnick Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024001740 OH Practitioner - Certified Nurse Midwife (CNM) 7618465113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Cincinnati College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Park Community HospitalGroup PAC ID 1951200872, 18 clinicians

Practice addresses (Care Compare)

2801 Bay Park Dr
Oregon, OH 43616-4920
Phone (419) 690-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
4704349751MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Park Community Hospital CurrentSince Oct 15, 2025 Accepting new patients
Memorial Professional Services LTD CurrentSince Oct 15, 2025 Accepting new patients

Locations

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

2751 Bay Park Dr
Ste 300
Oregon, OH 43616
Phone (419) 690-7596

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

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.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1316828817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 HOLLYWOOD DR",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BAY PARK DR STE 300",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164922",
            "telephone_number": "419-690-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWLING",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704349751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "STADNICK",
            "middle_name": "ELIZABETH",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.