Individual provider Active NPI

Nicole M. Kane, C.N.P.

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1982601571
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP07124 Issued in OH
Practice address
4640 W Alexis Rd
Toledo, OH 43623-1182
Phone
(419) 474-9324
Fax
(552) 870-1608
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 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 NP07124 OH Primary

Addresses

Primary practice location

4640 W Alexis Rd
Toledo, OH 43623-1182

Mailing address

4640 W Alexis Rd
Toledo, OH 43623-1182
Phone (419) 474-9324

Other identifiers 1

IdentifierTypeStateIssuer
2412955MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicole.kaneaprncnp.p1@direct.whc.nextgenshare.com

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
I20040408001604 OH Practitioner - Nurse Practitioner 6608860002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Physicians IncGroup PAC ID 6103724935, 6 clinicians

Practice addresses (Care Compare)

4640 W Alexis Rd
Toledo, OH 43623-1182

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP07124OHMDFamily Nurse Practitioner

Organizations & group practices 1

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 3

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1982601571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 W ALEXIS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231182",
            "telephone_number": "419-474-9324",
            "fax_number": "885-287-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 W ALEXIS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231182",
            "telephone_number": "419-474-9324",
            "fax_number": "552-870-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "NICOLE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP07124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412955",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.kaneaprncnp.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1616 E Wooster St Unit 38",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434023478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.