Individual provider Active NPI

Nicole Elizabeth Zmijewski

  • Nurse Practitioner
  • Erie, MI
National Provider Identifier
1699333419
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP500015068 Issued in DC
Practice address
2090 Matty Dr
Erie, MI 48133-9370
Phone
(419) 344-7729
NPI assigned
Jun 5, 2019
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP500015068 DC Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.024629 OH
Family Nurse Practitioner 363LF0000X 4704241600 MI

Addresses

Primary practice location

2090 Matty Dr
Erie, MI 48133-9370

Mailing address

2090 Matty Dr
Erie, MI 48133-9370
Phone (419) 344-7729

Other practice location 1

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3888

Other practice location 2

1350 Connecticut Ave NW Ste 1250
Washington, DC 20036-1728
Phone (888) 663-6331

Other identifiers 1

IdentifierTypeStateIssuer
0361547MedicaidOH

Other names 1

  • Nicole Elizabeth Knight Former name

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
I20190827002623 OH Practitioner - Nurse Practitioner 2961730007 Reassigns benefits to 5 organizations
I20200501000477 MI Practitioner - Nurse Practitioner 2961730007 Reassigns benefits to 1 organization

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
Emergency Physicians of Northwest Ohio, Inc.Group PAC ID 3375456478, 102 clinicians

Practice addresses (Care Compare)

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

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP500015068DCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
Emergency Physicians of Northwest Ohio Inc. CurrentSince Mar 18, 2022 Accepting new patients
The Toledo Hospital Current Accepting new patients
Mercy Emergency Care Services, Inc. Nurse Practitioner CurrentSince Nov 1, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Feb 1, 2022 Accepting new patients
Observation Physicians of Northwest Ohio LLC CurrentSince Mar 18, 2022 Accepting new patients
The Toledo Hospital CurrentSince Jul 27, 2022 Accepting new patients
The Toledo Hospital CurrentSince Jul 27, 2022 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
West Toledo Urgent Care LLC Past Accepting new patients

Locations

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

6711 Airport Hwy
Holland, OH 43528
Phone (567) 585-0070

1075 Medical Center Pkwy
Maumee, OH 43537
Phone (567) 585-0800

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

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

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

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

Organizations & group practices 11

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 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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1699333419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 MATTY DR",
            "city": "ERIE",
            "state": "MI",
            "postal_code": "481339370",
            "telephone_number": "419-344-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 MATTY DR",
            "city": "ERIE",
            "state": "MI",
            "postal_code": "481339370",
            "telephone_number": "419-344-7729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3888",
            "fax_number": "419-383-2860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Connecticut Ave NW Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200361728",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZMIJEWSKI",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP500015068",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024629",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704241600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361547",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KNIGHT",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, MI

Sources for this page

Verify at the official NPI Registry.