Active NPI
Jennifer C Nicolini, M.D.
- Internal Medicine Physician
- Arden, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2004000722
- Practice address
- 600 Julian LN
Suite 630
Arden, NC 28704-7813 - Phone
- (828) 651-0121
- Fax
- (828) 651-0141
- NPI assigned
- Feb 27, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2004000722 | NC | Primary |
Addresses
Primary practice location
600 Julian LN
Suite 630
Arden, NC 28704-7813
Mailing address
600 Julian Lane
Suite 630
Arden, NC 28704
Phone (828) 651-0121
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01760 | Other | COMMERCIAL PRIVATE PAY | |
| P00157233 | Other | MEDICARE METRAHEALTH | |
| 1369E | Other | BCBS | |
| 891369E | Other | CAROLINA ACCESS | |
| 891369E | Medicaid | NC | |
| 561565803 | Other | CIGNA HEALTHCARE OF NC | |
| 2307353 | Other | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Brody School of Medicine at East Carolina University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
600 Julian LN
Suite 630
Arden, NC 28704-7812
Phone (828) 651-0121
Hospital & facility affiliations
- Memorial Mission Hospital and Asheville Surgery Ce
- Adventhealth Hendersonville
- Pardee Hospital Henderson County
- Transylvania Regional Hospital, Inc
- Carepartners Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004000722 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asheville Medicine & Pediatrics, LTD | Internal Medicine | Current | Accepting new patients |
| Sun Health Corporation | Past | Accepting new patients |
Locations
600 Julian Ln
Ste 630
Arden, NC 28704
Phone (828) 651-0003
Interoperability endpoints
- jennifer-nicolini@ashmedpeds.e-mdsdirect.com
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.
-
- Internal Medicine Physician
- Arden, NC
- NPI 1871780254
-
- Clinic/Center
- Sun City, AZ
- NPI 1568412658
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Asheville, NC
- NPI 1235614983
Inpatient rehabilitation facility
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- General Acute Care Hospital
- Hendersonville, NC
- NPI 1144247982
-
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
-
- Critical Access Hospital
- Brevard, NC
- NPI 1417432139
-
- Rural Health Clinic/Center
- Clyde, NC
- NPI 1972079127
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1477529725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 JULIAN LANE",
"address_2": "SUITE 630",
"city": "ARDEN",
"state": "NC",
"postal_code": "28704",
"telephone_number": "828-651-0121",
"fax_number": "828-651-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JULIAN LN",
"address_2": "SUITE 630",
"city": "ARDEN",
"state": "NC",
"postal_code": "287047813",
"telephone_number": "828-651-0121",
"fax_number": "828-651-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLINI",
"first_name": "JENNIFER",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2004000722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL PRIVATE PAY",
"identifier": "01760",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE METRAHEALTH",
"identifier": "P00157233",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1369E",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAROLINA ACCESS",
"identifier": "891369E",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891369E",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE OF NC",
"identifier": "561565803",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2307353",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.