NPIMap

Individual provider Active NPI

Nicole Cincinnati, C.R.N.P.

  • Family Nurse Practitioner
  • Wyomissing, PA
National Provider Identifier
1952367237
Registry record updated Jan 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP007986 Issued in PA
Practice address
1030 Reed Avenue
Suite 114
Wyomissing, PA 19610-2029
Phone
(610) 376-7365
Fax
(610) 376-1320
NPI assigned
Apr 25, 2006
Last updated
Jan 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2017

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 SP007986 PA Primary

Addresses

Primary practice location

1030 Reed Avenue
Suite 114
Wyomissing, PA 19610-2029

Mailing address

1030 Reed Avenue
Suite 114
Wyomissing, PA 19610-2029
Phone (610) 376-7365

Other identifiers 1

IdentifierTypeStateIssuer
101355441MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000137 PA Practitioner - Nurse Practitioner 7810984002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reading Nephrology, LTDGroup PAC ID 2062451578, 13 clinicians
Berks Diabetes ManagementGroup PAC ID 6608186283, 3 clinicians

Practice addresses (Care Compare)

1030 Reed Ave
Suite 114
Wyomissing, PA 19610-2039
Phone (610) 376-7365

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP007986PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Endocrinology,LLC CurrentSince Feb 1, 2020 Accepting new patients
Reading Nephrology, LTD CurrentSince Aug 6, 2012 Accepting new patients
Berks Diabetes Management CurrentSince Feb 1, 2020 Accepting new patients
Reading Hospital Past Accepting new patients
Tower Health Medical Group Past Accepting new patients

Locations

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

1030 Reed Ave
Ste 114
Wyomissing, PA 19610
Phone (610) 376-7365

1030 Reed Ave
Ste 116
Wyomissing, PA 19610
Phone (610) 373-7743

220 N Park Rd
Wyomissing, PA 19610

Interoperability endpoints

  • Direct secure messaging: nicolec@readingnephrology.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484438400000",
    "number": "1952367237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 REED AVENUE",
            "address_2": "SUITE 114",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102029",
            "telephone_number": "610-376-7365",
            "fax_number": "610-376-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 REED AVENUE",
            "address_2": "SUITE 114",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102029",
            "telephone_number": "610-376-7365",
            "fax_number": "610-376-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINCINNATI",
        "first_name": "NICOLE",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2017-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101355441",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.