Individual provider Active NPI

Nicole Lynne Epard, CNP

  • Acute Care Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1619534781
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.024745 Issued in OH
Practice address
9001 N Main St Ste a
Dayton, OH 45415-1154
Phone
(937) 832-0990
NPI assigned
May 23, 2019
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.024745 OH Primary

Addresses

Primary practice location

9001 N Main St Ste a
Dayton, OH 45415-1154

Mailing address

9001 N Main St
Dayton, OH 45415-1175
Phone (937) 832-0990

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118001575 OH Practitioner - Nurse Practitioner 2466823067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

8701 Old Troy Pike
Suite 210
Huber Heights, OH 45424-1188
Phone (937) 610-0105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rajesh C Patel MD Inc CurrentSince Sep 22, 2022 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Rajesh C. Patel, M.D., Inc. CurrentSince Sep 22, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

9001 N Main St
Ste A
Dayton, OH 45415
Phone (937) 832-0990

8701 Old Troy Pike
Ste 210
Huber Heights, OH 45424
Phone (937) 610-0105

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1619534781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151175",
            "telephone_number": "937-832-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 N MAIN ST STE A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151154",
            "telephone_number": "937-832-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPARD",
        "first_name": "NICOLE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2023-02-20",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.024745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.