MRS. NICHOLE PAIGE SHRIVER (APRN, CNP) – Family Nurse Practitioner, NPI 1114742095

MRS. NICHOLE PAIGE SHRIVER (APRN, CNP) is a healthcare provider. based in Big prairie, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP. They hold a License No. 0038120 (OH). The NPI Number for MRS. NICHOLE PAIGE SHRIVER (APRN, CNP) is 1114742095

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICHOLE PAIGE SHRIVER (APRN, CNP)
NPI
1114742095
Phone
(330) 473-9619
Address
12952 STATE ROUTE 39
Enumeration Date
18 November 2024
Last Update Date
1 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403934325
Graduation Year
2024 (2 years ago)
PAC ID
7618497918
Group Practice PAC ID
1153301833
Professional Enrollment ID
I20250217002321
Address ID
OH430507904MO1451XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. NICHOLE PAIGE SHRIVER (APRN, CNP)

  • 12952 STATE ROUTE 39

    BIG PRAIRIE, OH 446119682

    Phone: (330) 473-9619

    Type: Mailing

  • 1330 COSHOCTON AVE

    MOUNT VERNON, OH 430501495

    Phone: (740) 393-4325

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250217002321INurse PractitionerOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44611)

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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: 1153301833View full group profile
NameSpecialtyState
-OH
P O D I A T R YOH
Nurse PractitionerOH
Certified Registered Nurse Anesthetist (Crna)OH
Family PracticeOH
Family Practice, Obstetrics/GynecologyOH
-OH
-OH
Certified Nurse Midwife (Cnm)OH
-OH

Reviews

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Frequently asked questions

What is MRS. NICHOLE PAIGE SHRIVER (APRN, CNP)'s NPI number?
MRS. NICHOLE PAIGE SHRIVER (APRN, CNP)'s NPI is 1114742095 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MRS. NICHOLE PAIGE SHRIVER (APRN, CNP)?
You should see MRS. NICHOLE PAIGE SHRIVER (APRN, CNP) as active in CMS-hosted NPPES data.
What expertise is attributed to MRS. NICHOLE PAIGE SHRIVER (APRN, CNP)?
MRS. NICHOLE PAIGE SHRIVER (APRN, CNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Ohio is MRS. NICHOLE PAIGE SHRIVER (APRN, CNP) registered?
Use Big Prairie, Ohio as the headline location for MRS. NICHOLE PAIGE SHRIVER (APRN, CNP) here.
Can I trust this NPI listing for MRS. NICHOLE PAIGE SHRIVER (APRN, CNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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