MS. NICOLE DENISE NICKENS (MSN, A-GPNP-BC,) – Nurse Practitioner, NPI 1609082486
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MS. NICOLE DENISE NICKENS (MSN, A-GPNP-BC,)
12395 MCCRACKEN RD
GARFIELD HTS, OH 441252967
Phone: (216) 587-6727
Type: Location
BrightView, 446, Morgan Street, Gilbert-Sinton Historic District, Walnut Hills, Cincinnati, Hamilton County, Ohio, 45206, United States
CINCINNATI, OH 452062348
Phone: (513) 834-7063
Fax: (513) 873-1567
Type: Mailing
Lincoln Way East, New England, Massillon, Stark County, Ohio, 44646, United States
MASSILLON, OH 446468624
Phone: (513) 834-7063
Fax: (513) 873-1567
Type: Location
30841 EUCLID AVE STE 103
WILLOUGHBY, OH 440943100
Phone: (216) 441-2496
Fax: (216) 453-5966
Type: Mailing
30841 Euclid Ave Ste 103
Willoughby, OH 440943100
Phone: (216) 441-2496
Fax: (216) 453-5966
Type: Location
3512 HAMPTON RD
BEACHWOOD, OH 441224272
Phone: (216) 315-3980
Type: Mailing
3793 GREEN RD
BEACHWOOD, OH 441225705
Phone: (216) 232-5302
Fax: (216) 393-3690
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $584.
Total Amount is formed as General ($584) + Research ($0) + Ownership ($0) = $584.
Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($299).
Total Amount
$584
General + Research + Ownership
Payments
14
Total payment records
General Amount
$584
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-05-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170501001418 | I | Nurse Practitioner | OH | TBD |
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.
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 44125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | KY |
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