Ms Nicole Denise Nickens, MSN, A-GPNP-BC, is a medicare enrolled "Nurse Practitioner" physician in Cleveland Heights, Ohio. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rakesh Ranjan M.d. And Assoc., Inc, Wound Med Llc and her current practice location is
2000 Lee Rd Ste 219, Cleveland Heights, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 446-5117.
Ms Nicole Denise Nickens is licensed to practice in Ohio (license number APRN.CNP.020745) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609082486.
Physician's Profile
| Full Name | Ms Nicole Denise Nickens |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 2000 Lee Rd Ste 219, Cleveland Heights, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Nicole Denise Nickens graduated from medical school in 2015
NPI Data:
- NPI Number: 1609082486
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 07/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 0446537484
- Enrollment ID: I20170501001418
Medical Identifiers
Medical identifiers for Ms Nicole Denise Nickens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609082486 | NPI | - | NPPES |
| 0323866 | Medicaid | OH | |
| 1609082486 | Medicaid | OH | |
| 2462777 | Medicaid | OH | |
| 1396466272 | Other | OH | NPI AFFILIATION |
| 1750217519 | Other | OH | NPI AFFILIATION |
| 0223866 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RA0401X | Internal Medicine - Addiction Medicine | CNP020745 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.020745 (Ohio) | Primary |
| 163W00000X | Registered Nurse | RN346914 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP020745 (Ohio) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Rakesh Ranjan M.d. And Assoc., Inc | 6507895067 | 21 |
| | |
| Wound Med Llc | 2769916915 | 32 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Nicole Denise Nickens allows following entities to bill medicare on her behalf.
| Entity Name | Rakesh Ranjan M.d. & Assoc., Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033143722 PECOS PAC ID: 6507895067 Enrollment ID: O20050805000212 |
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| Entity Name | Jordan Community Residential Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164068524 PECOS PAC ID: 6305210220 Enrollment ID: O20230316000356 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nicole Denise Nickens is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Nicole Denise Nickens, MSN, A-GPNP-BC, 2000 Lee Rd Ste 219, Cleveland Heights, OH 44118-2559 Ph: (216) 446-5117 | Ms Nicole Denise Nickens, MSN, A-GPNP-BC, 2000 Lee Rd Ste 219, Cleveland Heights, OH 44118-2559 Ph: (216) 446-5117 |
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