Individual provider Active NPI

Emily Ohliger Kickel, CNP

  • Family Nurse Practitioner
  • Lorain, OH
National Provider Identifier
1962933846
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021039 Issued in OH
Practice address
3288 Oberlin Ave
Lorain, OH 44053-2752
Phone
(440) 282-9189
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.403552 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.021039 OH Primary

Addresses

Primary practice location

3288 Oberlin Ave
Lorain, OH 44053-2752

Mailing address

130 Foresthill Dr
Amherst, OH 44001-2361
Phone (440) 315-1285

Other identifiers 1

IdentifierTypeStateIssuer
0225455MedicaidOH

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
I20171005000571 OH Practitioner - Nurse Practitioner 2264707926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians

Practice addresses (Care Compare)

11706 Clifton Blvd
Lakewood, OH 44107-2018
Phone (866) 389-2727

118 W Garfield Rd
Aurora, OH 44202-8821
Phone (866) 389-2727

1443 Richmond Rd
Lyndhurst, OH 44124-2449
Phone (866) 389-2727

1491 Som Ctr Rd
Mayfield Heights, OH 44124-2101
Phone (866) 389-2727

27713 Lorain Rd
North Olmsted, OH 44070-4019
Phone (866) 389-2727

296 Ctr St
Chardon, OH 44024-1172
Phone (866) 389-2727

30791 Detroit Rd
Westlake, OH 44145-1835
Phone (866) 389-2727

4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727

5783 Darrow Rd
Hudson, OH 44236-3866
Phone (866) 389-2727

9302 Olde 8 Rd
Northfield, OH 44067-2027
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.403552OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Apr 27, 2011 Accepting new patients
Minuteclinic Primary Care Ohio LLC Family CurrentSince Aug 3, 2025 Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

3288 Oberlin Ave
Lorain, OH 44053
Phone (440) 282-9189

1100 Hill Rd N
Pickerington, OH 43147
Phone (614) 572-6610

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1962933846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FORESTHILL DR",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012361",
            "telephone_number": "440-315-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532752",
            "telephone_number": "440-282-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLIGER KICKEL",
        "first_name": "EMILY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.403552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225455",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.