Nicoletto Bolzan-Roche, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.023837 Issued in OH

Practice address

3600 Kolbe Rd Ste 106
Lorain, OH 44053-1652

Phone

(440) 960-3954

Fax

(440) 960-3956

NPI assigned

Oct 25, 2018

Last updated

Feb 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Ohio Medical University, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Incare Health Solutions LLCGroup PAC ID 5092980730, 66 clinicians

Hni Medical Services of Ohio, LLCGroup PAC ID 1759620735, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nbolzanroche233739@direct.bsmhealth.org

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.

• Hni Medical Services of Ohio, LLC

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1356815922

  Family

  Medicare reassignment Care Compare group NPD
• Incare Health Solutions LLC

  dba Walk in Urgent Care

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1235422403
  Medicare reassignment Care Compare group NPD
• Community Hospitalist, LLC

  • Hospitalist Physician
  • Lorain, OH
  • NPI 1538236872

  Family

  Medicare reassignment NPD
• Mercy Health Physicians Lorain, LLC

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1023347192
  Medicare reassignment NPD
• Incare Health Solutions, LLC

  dba Walk in Clinic

  • Primary Care Nurse Practitioner
  • Ontario, OH
  • NPI 1639621824

  Family

  NPD
• Mercy Health Physicians, Lorain, LLC

  dba Mercy Health - Orthopedics and Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Oberlin, OH
  • NPI 1730724147
  NPD
• Mercy Health-Allen Hospital LLC

  dba Mercy Health Lagrange Primary Care

  • Rural Health Clinic/Center
  • Lagrange, OH
  • NPI 1306070594
  NPD
• Mercy Health-Allen Hospital LLC

  dba Mercy Health Allen Hospital

  • Critical Access Hospital
  • Oberlin, OH
  • NPI 1801825997
  NPD
• Mercy Health-Allen Hospital LLC

  dba MH-Wellington Primary Care

  • Rural Health Clinic/Center
  • Wellington, OH
  • NPI 1780818963
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health-Regional Medical Center LLC

  dba Mercy Regional Medical Center Laboratory

  • Clinical Medical Laboratory
  • Lorain, OH
  • NPI 1164971800

  Hospital

  Care Compare affiliation
• Mercy Health-Regional Medical Center LLC

  dba Mercy Health Lorain Hospital

  • General Acute Care Hospital
  • Lorain, OH
  • NPI 1245274950
  Care Compare affiliation

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1770050049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 106",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-960-3954",
            "fax_number": "440-960-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 106",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-960-3954",
            "fax_number": "440-960-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLZAN-ROCHE",
        "first_name": "NICOLETTO",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023837",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.361488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Rae Boden, LMT
• Ava Boesel, CDCA
• Nathan A Boggs, CDCA
• Laurie Bohaty
• Ilma Bokman
• Jessica Bonnell, QMHS CMS
• Markia Breanne Boone, LSW
• Carrington Booth
• Karla Gay Borchert, LINCENSED SLP
• Karen Borges Sisson

• Family Nurse Practitioner in Lorain, OH
• Providers in Lorain, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.