NICOLE VAN HORNE (DO) – Emergency Medicine Physician, NPI 1255793667

NICOLE VAN HORNE (DO) is a healthcare provider. based in Miamisburg, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 34.012992 (OH). The NPI Number for NICOLE VAN HORNE (DO) is 1255793667

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE VAN HORNE (DO)
NPI
1255793667
Phone
(937) 384-8791
Address
4000 Miamisburg Centerville Rd
Enumeration Date
24 March 2016
Last Update Date
1 July 2020

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9549395000
Graduation Year
2016 (10 years ago)
PAC ID
0749570810
Group Practice PAC ID
2769719236
Professional Enrollment ID
I20200806001090
Address ID
MI491202207NI31XXXAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for NICOLE VAN HORNE (DO)

  • 4000 Miamisburg Centerville Rd

    Miamisburg, OH 453427615

    Phone: (937) 384-8791

    Type: Location

  • 321 E Harris St

    Charlotte, MI 488131629

    Phone: (517) 364-4140

    Type: Location

  • Sparrow Hospital, 1215, East Michigan Avenue, Lansing, Lansing Charter Township, Ingham County, Michigan, 48912, United States

    LANSING, MI 489121811

    Phone: (517) 364-4140

    Type: Mailing

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: 2020-08-06

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
I20200806001090IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making108100$0
99284Emergency department visit with moderate level of medical decision making5655$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2822$0
99291Critical care, first 30-74 minutes1414$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 45342)

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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: 2769719236View full group profile
NameSpecialtyState
Nurse PractitionerMI
Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Nurse PractitionerOH
Emergency MedicineMI
-MI
Emergency MedicineMI

Reviews

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Frequently asked questions

Where can patients find NICOLE VAN HORNE (DO)'s NPI?
You can confirm NICOLE VAN HORNE (DO) with NPI 1255793667; it appears in the national provider directory.
Is NICOLE VAN HORNE (DO)'s NPI currently valid?
The extract we use shows NICOLE VAN HORNE (DO) as active.
Does NICOLE VAN HORNE (DO) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for NICOLE VAN HORNE (DO). Clinical services aligned with this taxonomy classification.
Where does public data place NICOLE VAN HORNE (DO)?
The snapshot lists Miamisburg, Ohio for NICOLE VAN HORNE (DO); download NPPES for the complete set.
How can I contact NICOLE VAN HORNE (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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