Individual provider Active NPI

Nicole McLennan, CNP

  • Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1497124978
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA 18056NP Issued in OH
Practice address
4345 Secor Rd
Toledo, OH 43623-4233
Phone
(419) 469-6884
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA 18056NP OH Primary

Addresses

Primary practice location

4345 Secor Rd
Toledo, OH 43623-4233

Mailing address

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 479-5327

Other practice location 1

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150930002153 OH Practitioner - Nurse Practitioner 9133437783 Reassigns benefits to 5 organizations
I20251112002720 MI Practitioner - Nurse Practitioner 9133437783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Hospital IncGroup PAC ID 0345141644, 42 clinicians
FCHC Medical Care, LLCGroup PAC ID 8022018704, 58 clinicians

Practice addresses (Care Compare)

1600 E Riverview Ave
Napoleon, OH 43545-9805
Phone (419) 592-4015

725 S Shoop Ave
Wauseon, OH 43567-1701
Phone (419) 335-2015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA 18056NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Hospital Inc CurrentSince Jan 1, 2025 Accepting new patients
FCHC Medical Care, LLC CurrentSince Jul 31, 2023 Accepting new patients
Hospice of Northwest Ohio CurrentSince Jun 17, 2024 Accepting new patients
Promedica Monroe Physicians CurrentSince Nov 1, 2025 Accepting new patients
Promedica Central Physicians Nurse Practitioner CurrentSince Oct 1, 2015 Accepting new patients
Promedica Central Physicians CurrentSince Oct 1, 2015 Accepting new patients
Hospice of Northwest Ohio PastSince Jun 17, 2024 Accepting new patients

Locations

777 Kimole Ln
Ste 130
Adrian, MI 49221
Phone (517) 265-0292

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

L3493
Columbus, OH 43260

L4133
Columbus, OH 43260

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

30000 E River Rd
Perrysburg, OH 43551
Phone (419) 661-4001

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Organizations & group practices 8

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.

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1497124978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-479-5327",
            "fax_number": "419-479-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234233",
            "telephone_number": "419-469-6884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2142 N Cove Blvd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063895",
            "country_code": "US",
            "telephone_number": "419-291-4000",
            "fax_number": "419-479-3253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLENNAN",
        "first_name": "NICOLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA 18056NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.