MRS. NICHOLE MARIE RUNYON (FNP-C) – Family Nurse Practitioner, NPI 1174596159

MRS. NICHOLE MARIE RUNYON (FNP-C) is a healthcare provider. based in Ostrander, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN-308188 (OH). The NPI Number for MRS. NICHOLE MARIE RUNYON (FNP-C) is 1174596159

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICHOLE MARIE RUNYON (FNP-C)
NPI
1174596159
Phone
(614) 216-7772
Address
741 BURNT POND RD
Enumeration Date
9 February 2006
Deactivation Date
1 October 2018
Reactivation Date
10 October 2018
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403837936
Graduation Year
2018 (8 years ago)
PAC ID
0547509515
Group Practice PAC ID
1850549437
Professional Enrollment ID
I20190308002332
Address ID
OH433026416MA1040XAVEX300

Contacts

Secure Messaging
nrunyon36947@direct.ohiohealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness95
Years active:20State licenses:2Other names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. NICHOLE MARIE RUNYON (FNP-C)

  • 741 BURNT POND RD

    OSTRANDER, OH 430619739

    Phone: (614) 216-7772

    Type: Mailing

  • 655 AFRICA RD

    WESTERVILLE, OH 430829808

    Phone: (614) 326-2672

    Fax: (614) 326-2687

    Type: Location

  • Marion Medical Campus, 1040, Delaware Avenue, Marion, Marion Township, Marion County, Ohio, 43302, United States

    MARION, OH 433026416

    Phone: (740) 383-8080

    Fax: (740) 383-8084

    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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Sage Therapeutics, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Sage Therapeutics, Inc.$21
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: 2019-03-08

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
I20190308002332INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2419$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1818$0
View full utilization report →

Insurance plans in this area (ZIP 43061)

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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: 1850549437View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
-OH
O P H T H A L M O L O G YOH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
General SurgeryOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is MRS. NICHOLE MARIE RUNYON (FNP-C)'s NPI number?
MRS. NICHOLE MARIE RUNYON (FNP-C)'s NPI is 1174596159 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MRS. NICHOLE MARIE RUNYON (FNP-C)?
You should see MRS. NICHOLE MARIE RUNYON (FNP-C) as active in CMS-hosted NPPES data.
How would a patient describe MRS. NICHOLE MARIE RUNYON (FNP-C)'s focus?
For MRS. NICHOLE MARIE RUNYON (FNP-C), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. NICHOLE MARIE RUNYON (FNP-C)?
Directory geography for MRS. NICHOLE MARIE RUNYON (FNP-C) centers on Ostrander, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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