MRS. KARA MARIE NICODEMUS (CNP, APRN) – Acute Care Nurse Practitioner, NPI 1912688581

MRS. KARA MARIE NICODEMUS (CNP, APRN) is a healthcare provider. based in Stow, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP, APRN. They hold a License No. PENDING (OH). The NPI Number for MRS. KARA MARIE NICODEMUS (CNP, APRN) is 1912688581

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KARA MARIE NICODEMUS (CNP, APRN)
NPI
1912688581
Phone
(330) 564-7982
Address
3982 BAIRD RD
Enumeration Date
27 July 2023
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164445433
Graduation Year
2023 (3 years ago)
PAC ID
6103280136
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20230911000164
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. KARA MARIE NICODEMUS (CNP, APRN)

  • 3982 BAIRD RD

    STOW, OH 442244241

    Phone: (330) 564-7982

    Type: Mailing

  • 6780 MAYFIELD RD

    MAYFIELD HEIGHTS, OH 441242203

    Phone: (440) 312-4500

    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: 2023-09-11

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
I20230911000164INurse 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2317$0
View full utilization report →

Insurance plans in this area (ZIP 44224)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. KARA MARIE NICODEMUS (CNP, APRN)?
MRS. KARA MARIE NICODEMUS (CNP, APRN) — NPI 1912688581 — is the standard way to identify this listing.
Can I rely on MRS. KARA MARIE NICODEMUS (CNP, APRN) being an active provider?
As of the registry snapshot, MRS. KARA MARIE NICODEMUS (CNP, APRN) is marked active.
What taxonomy line describes MRS. KARA MARIE NICODEMUS (CNP, APRN)?
For research purposes, treat MRS. KARA MARIE NICODEMUS (CNP, APRN) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. KARA MARIE NICODEMUS (CNP, APRN) on a map?
Expect Stow, Ohio as a primary anchor for MRS. KARA MARIE NICODEMUS (CNP, APRN) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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