NICOLE BOSCHUETZ (M.D.) – Hepatology Physician, NPI 1033506910

NICOLE BOSCHUETZ (M.D.) is a healthcare provider. based in Cincinnati, Ohio. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 57.026621 (OH). The NPI Number for NICOLE BOSCHUETZ (M.D.) is 1033506910

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE BOSCHUETZ (M.D.)
NPI
1033506910
Phone
(513) 584-4505
Address
234 GOODMAN ST
Enumeration Date
18 April 2015
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
6082639531
Graduation Year
2016 (10 years ago)
PAC ID
5799097804
Group Practice PAC ID
6608785464
Professional Enrollment ID
I20250121000066
Address ID
IL611146624RO3505XRDXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:11State licenses:3Digital endpointsOther names

864 GASTROENTEROLOGY in OH

Provider Addresses for NICOLE BOSCHUETZ (M.D.)

  • 234 GOODMAN ST

    ML 0781

    CINCINNATI, OH 452192364

    Phone: (513) 584-4505

    Fax: (513) 584-0468

    Type: Mailing

  • 7974 UW HEALTH CT

    MIDDLETON, WI 535625531

    Phone:

    Type: Mailing

  • 750 UNIVERSITY ROW

    MADISON, WI 537051311

    Phone: (608) 890-5000

    Type: Location

  • 234 Goodman St

    ML 0781

    Cincinnati, OH 452192364

    Phone: (513) 475-8000

    Fax: (513) 584-0468

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2023-03-02 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($150).

Total Amount

$150

General + Research + Ownership

Payments

1

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230823003052IInternal MedicineWITBD
I20250121000066IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample1913$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare1616$0
View full utilization report →

Insurance plans in this area (ZIP 45219)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608785464View full group profile
NameSpecialtyState
-WI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
-WI
-WI
-WI
Endocrinology, Internal MedicineWI
Medical Oncology, Hematology/OncologyCA

Reviews

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Frequently asked questions

How do I look up NICOLE BOSCHUETZ (M.D.) by NPI?
Use NPI 1033506910 when you need to reference NICOLE BOSCHUETZ (M.D.) in forms, claims, or directories.
Does this profile mean NICOLE BOSCHUETZ (M.D.) is currently active?
Yes — NICOLE BOSCHUETZ (M.D.) appears active in the national provider directory.
What kind of provider is NICOLE BOSCHUETZ (M.D.)?
The page reflects Hepatology Physician for NICOLE BOSCHUETZ (M.D.). Clinical services aligned with this taxonomy classification.
Does NICOLE BOSCHUETZ (M.D.) practice in Ohio?
You will see Cincinnati, Ohio on file for NICOLE BOSCHUETZ (M.D.) alongside any extra practice locations.
How can I contact NICOLE BOSCHUETZ (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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