Individual provider Active NPI

Nicole Marie Soptelean, FNP-C

  • Family Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1912410903
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022055 Issued in OH
Practice address
3600 Kolbe Rd Ste 120
Lorain, OH 44053-1652
Phone
(440) 960-3954
Fax
(440) 960-3956
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022055 OH Primary

Addresses

Primary practice location

3600 Kolbe Rd Ste 120
Lorain, OH 44053-1652

Mailing address

3600 Kolbe Rd Ste 120
Lorain, OH 44053-1652
Phone (440) 960-3954

Other practice location 1

224 W Lorain St Ste 100
Oberlin, OH 44074-1087
Phone (440) 775-1881

Other identifiers 2

IdentifierTypeStateIssuer
3025372MedicaidOH
0275555MedicaidOH

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
I20180423001721 OH Practitioner - Nurse Practitioner 9335402536 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

32800 Lorain Rd
Suite 2300
North Ridgeville, OH 44039-3430
Phone (440) 406-5500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Mar 17, 2025 Accepting new patients
University Primary Care Practices Inc CurrentSince May 1, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince May 1, 2022 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Oct 23, 2023 Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Oct 23, 2023 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

1957 Cooper Foster Park Rd
Amherst, OH 44001
Phone (440) 989-3801

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

125 E Broad St
Ste 219
Elyria, OH 44035
Phone (440) 326-5250

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

32800 Lorain Rd
Ste 2300
North Ridgeville, OH 44039
Phone (440) 406-5500

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

224 W Lorain St
Ste 100
Oberlin, OH 44074
Phone (440) 222-4970

840 Patriot Dr
Wellington, OH 44090
Phone (440) 647-2225

Interoperability endpoints

  • Direct secure messaging: nsoptelean28120@ehrdirect.uhhospitals.org

Organizations & group practices 9

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 7

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1912410903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 120",
            "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 120",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-960-3954",
            "fax_number": "440-960-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 W Lorain St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oberlin",
            "state": "OH",
            "postal_code": "440741087",
            "country_code": "US",
            "telephone_number": "440-775-1881",
            "fax_number": "440-744-5707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOPTELEAN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025372",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0275555",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.