Active NPI
Nicole Grove, FNP-C
- Family Nurse Practitioner
- Moraine, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA15850NP
- Practice address
- 3421 Pinnacle Rd
Moraine, OH 45439-7918 - Phone
- (937) 268-3488
- NPI assigned
- May 5, 2014
- Last updated
- Jul 20, 2025
- 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 | COA15850NP | OH | Primary |
Addresses
Primary practice location
3421 Pinnacle Rd
Moraine, OH 45439-7918
Mailing address
901 E Central Ave Unit 49054
Dayton, OH 45449-7503
Phone (937) 573-7452
Other practice location 1
250 W Social Row Rd
Washington Township, OH 45458-4404
Phone (937) 573-7452
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102751 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4830 Salem Ave
Dayton, OH 45416-1716
Phone (937) 573-7452
6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA15850NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Vision LLC | Current | Accepting new patients | |
| Nicole Grove LLC | Current | Accepting new patients |
Locations
6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202
7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204
4830 Salem Ave
Dayton, OH 45416
Phone (937) 278-2692
901 E Central Ave
Unit 49054
Dayton, OH 45449
119 W Somers St
Eaton, OH 45320
Phone (937) 456-3640
101 Mills Pl
New Lebanon, OH 45345
Phone (937) 603-4507
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Austin Trace Health and Rehabilitation | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 23, 2021 Aug 23, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Austin Trace Health and Rehabilitation
- Skilled Nursing Facility
- Centerville, OH
- NPI 1447842745
Adp of the SNF, Operational/Managerial Control
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- West Carrollton, OH
- NPI 1851701700
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1144651373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752969600000",
"number": "1578973038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E CENTRAL AVE UNIT 49054",
"city": "DAYTON",
"state": "OH",
"postal_code": "454497503",
"telephone_number": "937-573-7452",
"fax_number": "855-953-3569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 PINNACLE RD",
"city": "MORAINE",
"state": "OH",
"postal_code": "454397918",
"telephone_number": "937-268-3488"
}
],
"practiceLocations": [
{
"address_1": "250 W Social Row Rd",
"address_purpose": "LOCATION",
"city": "Washington Township",
"state": "OH",
"postal_code": "454584404",
"country_code": "US",
"telephone_number": "937-573-7452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROVE",
"first_name": "NICOLE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2025-07-20",
"certification_date": "2025-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA15850NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102751",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.