Active NPI
Nicole Stephens, CNP
- Family Nurse Practitioner
- Wapakoneta, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0032285
- Practice address
- 1321 Bellefontaine St Ste 100
Wapakoneta, OH 45895-8769 - Phone
- (567) 356-4054
- Fax
- (567) 356-4056
- NPI assigned
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0032285 | OH | Primary |
Addresses
Primary practice location
1321 Bellefontaine St Ste 100
Wapakoneta, OH 45895-8769
Mailing address
1085 Polaris Pkwy
Columbus, OH 43240-2004
Phone (614) 505-0021
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0032285 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercer County Joint Township Community Hospital | Multi-Specialty | Current | Accepting new patients |
| Incare Health Solutions LLC | Multi-Specialty | Current | Accepting new patients |
| Incare Health Solutions, LLC | Multi-Specialty | Current | Accepting new patients |
| Diagnostic Pathology, LLC | Multi-Specialty | Current | Accepting new patients |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Multi-Specialty | Past | Accepting new patients |
| JTDM Family Practice LLC | Multi-Specialty | Past | Accepting new patients |
Locations
950 S Main St
Celina, OH 45822
Phone (419) 586-1611
800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341
1085 Polaris Pkwy
Columbus, OH 43240
Phone (614) 505-0021
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008
1321 Bellefontaine St
Ste 100
Wapakoneta, OH 45895
Phone (567) 356-4054
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
Multi-Specialty
-
- Anatomic Pathology & Clinical Pathology Physician
- Coldwater, OH
- NPI 1366639197
Multi-Specialty
-
- Primary Care Nurse Practitioner
- Ontario, OH
- NPI 1639621824
Multi-Specialty
-
- Durable Medical Equipment & Medical Supplies
- Coldwater, OH
- NPI 1609963198
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1437870276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 POLARIS PKWY",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432402004",
"telephone_number": "614-505-0021",
"fax_number": "614-505-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 BELLEFONTAINE ST STE 100",
"city": "WAPAKONETA",
"state": "OH",
"postal_code": "458958769",
"telephone_number": "567-356-4054",
"fax_number": "567-356-4056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "NICOLE",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0032285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wapakoneta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.