Individual provider Active NPI

Heather Nicole Nickell, FNP

  • Family Nurse Practitioner
  • Ontario, OH
National Provider Identifier
1386256717
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0027224 Issued in OH
Practice address
600 Richland Mall
Ontario, OH 44906-1246
Phone
(419) 562-3470
NPI assigned
Aug 18, 2020
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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 0027224 OH Primary

Addresses

Primary practice location

600 Richland Mall
Ontario, OH 44906-1246

Mailing address

700 N Columbus St
Crestline, OH 44827-1455

Other practice location 1

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 462-3470

Other practice location 2

629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 462-3470

Other practice location 3

285 E State St
Columbus, OH 43215-4354
Phone (614) 788-4699

Other names 1

  • Heather Nicole Fabian Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hnickell458922@direct.ohiohealth.com OhioHealth Physician Group

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
I20201008000589 OH Practitioner - Nurse Practitioner 8527487719 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
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

135 N Ewing St
Suite 202
Lancaster, OH 43130-3378
Phone (740) 687-4505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0027224OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Sep 5, 2020 Accepting new patients
Fairfield Healthcare Professionals Inc CurrentSince Dec 31, 2023 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 5, 2020 Accepting new patients
Fairfield Healthcare Professionals, Inc. CurrentSince Dec 31, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

285 E State St
Columbus, OH 43215
Phone (614) 287-4628

285 E State St
Ste 210
Columbus, OH 43215
Phone (614) 788-4699

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

135 N Ewing St
Ste 202
Lancaster, OH 43130
Phone (740) 653-5064

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1386256717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RICHLAND MALL",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449061246",
            "telephone_number": "419-562-3470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 Portland Way S",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448332312",
            "country_code": "US",
            "telephone_number": "419-462-3470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "629 N Sandusky Ave",
            "address_purpose": "LOCATION",
            "city": "Bucyrus",
            "state": "OH",
            "postal_code": "448201821",
            "country_code": "US",
            "telephone_number": "419-462-3470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 E State St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154354",
            "country_code": "US",
            "telephone_number": "614-788-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKELL",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0027224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hnickell458922@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "285 E State St",
            "address_2": "Ste 210",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432154354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "FABIAN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ontario, OH

Sources for this page

Verify at the official NPI Registry.