Nicole Denise Nickens, MSN, A-GPNP-BC,

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.020745 Issued in OH

Practice address

2000 Lee Rd Ste 219
Cleveland Heights, OH 44118-2559

Phone

(216) 446-5117

Fax

(216) 516-0558

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 6

Other names 1

• Nicole Denise Faison Former name

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rakesh Ranjan M.D. and Assoc., IncGroup PAC ID 6507895067, 22 clinicians

Wound Med LLCGroup PAC ID 2769916915, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Wound Med LLC

  • Nursing Care Agency
  • Shaker Heights, OH
  • NPI 1790521060
  Medicare reassignment Care Compare group NPD
• Rakesh Ranjan M.D. & Assoc., Inc.

  • Clinical Medical Laboratory
  • Garfield Heights, OH
  • NPI 1033143722
  Medicare reassignment Care Compare group
• Jordan Community Residential Center

  • Addiction (Substance Use Disorder) Psychologist
  • Willoughby, OH
  • NPI 1164068524
  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  OH

  Medicare reassignment NPD
• Healthy Healing LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cleveland Heights, OH
  • NPI 1396466272

  Addiction Medicine

  NPD Authorized official
• One More Day Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cleveland, OH
  • NPI 1225725815
  NPD Authorized official
• Healthy Healing LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland Heights, OH
  • NPI 1750217519
  NPD (past) Authorized official
• Jordan Community Residential

  • Mental Health Counselor
  • Willoughby, OH
  • NPI 1467098822
  NPD (past)
• Kelli Anne Chamberlain

  • Psychiatric/Mental Health Registered Nurse
  • Garfield HTS, OH
  • NPI 1013418458
  NPD (past)
• Lifeworks Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1447758230
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1609082486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LEE RD STE 219",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182559",
            "telephone_number": "216-446-5117",
            "fax_number": "216-516-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LEE RD STE 219",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182559",
            "telephone_number": "216-446-5117",
            "fax_number": "216-516-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKENS",
        "first_name": "NICOLE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MSN, A-GPNP-BC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "CNP020745",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.020745",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN346914",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "CNP020745",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0323866",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609082486",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2462777",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI AFFILIATION",
            "identifier": "1396466272",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI AFFILIATION",
            "identifier": "1750217519",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0223866",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FAISON",
            "middle_name": "DENISE",
            "credential": "MSN, A-GPNP-BC,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nephrology and Hypertension Associates Inc.
• Judy Neuman, LISW
• Nicholas M Rudy DDS Inc
• Mary Etta Nichols
• Benisha Nickelberry-Pruitt
• James Njui, RN
• Kisha Nichelle Noah
• Sara Jane Noble
• Noor Home Health Care
• Delius Norman

• Nurse Practitioner in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; 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.

Verify at the official NPI Registry.