Individual provider Active NPI

Nicole Renee Carrier, PA-C

  • Physician Assistant
  • Granville, OH
National Provider Identifier
1891711644
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2464 Issued in OH
Practice address
590 Newark Granville Rd
Granville, OH 43023-1436
Phone
(888) 531-7444
Fax
(614) 867-9889
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2464 OH Primary

Addresses

Primary practice location

590 Newark Granville Rd
Granville, OH 43023-1436

Mailing address

PO Box 378
Granville, OH 43023-0378
Phone (888) 531-7444

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
I20060810000584 OH Practitioner - Physician Assistant 1254364482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Central Ohio Geriatrics, LLCGroup PAC ID 7517015373, 8 clinicians

Practice addresses (Care Compare)

100 Delaware Xing W
Delaware, OH 43015-7853
Phone (740) 201-5640

100 Willow Brook Way S
Delaware, OH 43015-3249
Phone (740) 369-0048

10272 Sawmill Pkwy
Powell, OH 43065-9189
Phone (614) 356-9810

1400 Chapel Way
Heath, OH 43056-1099
Phone (740) 522-4663

230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470

26 N Union St
Delaware, OH 43015-1922
Phone (740) 362-9641

433 Obetz Rd
Columbus, OH 43207-4098
Phone (614) 491-2000

4590 Knightsbridge Blvd
Columbus, OH 43214-4327
Phone (614) 451-6793

5055 Thompson Rd
Columbus, OH 43230-6336
Phone (614) 855-3700

579 W 5TH Ave
Columbus, OH 43201-3174
Phone (614) 721-2035

6470 Post Rd
Dublin, OH 43016-3267
Phone (614) 602-6749

920 Sharon Valley Rd
Newark, OH 43055-7925
Phone (740) 336-7333

Hospital & facility affiliations

  • Enliven Home Health Home health agency, Gahanna, OH, CCN 368262
  • Summit Orthopaedic Home Care Home health agency, Grandview Heights, OH, CCN 368154

Merit-based Incentive Payment System (MIPS)

Final score
93.63 of 100Reported as apm
Quality
67.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2464OHMDDentist
1409COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Central Ohio PastSince Dec 16, 2020 Accepting new patients
Mobile Physician Network, LLC PastSince Dec 5, 2015 Accepting new patients
Senior Care of Colorado, PC Physician Assistant PastSince Sep 1, 2010 Accepting new patients

Organizations & group practices 5

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.

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1891711644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430230378",
            "telephone_number": "888-531-7444",
            "fax_number": "614-867-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NEWARK GRANVILLE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231436",
            "telephone_number": "888-531-7444",
            "fax_number": "614-867-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIER",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

Verify at the official NPI Registry.