Ms Nicole Kristin Hance, is a medicare enrolled "Nurse Practitioner - Family" in Mt. Orab, Ohio. She went to University Of Cincinnati College Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Kentucky, Pllc and her current practice location is
292 Brooks Malott Rd., Mt. Orab, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 444-0035.
Ms Nicole Kristin Hance is licensed to practice in Ohio (license number APRN.CNP.14472) 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 1639515794.
Provider's Profile
| Full Name | Ms Nicole Kristin Hance |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 292 Brooks Malott Rd., Mt. Orab, 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 Kristin Hance attended and graduated from University Of Cincinnati College Of Medicine in 2011
NPI Data:
- NPI Number: 1639515794
- Provider Enumeration Date: 05/16/2013
- Last Update Date: 08/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 8527200211
- Enrollment ID: I20190218001157
Medical Identifiers
Medical identifiers for Ms Nicole Kristin Hance such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639515794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0200X | Nurse Practitioner - Pediatrics | 14472-NP (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.14472 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Fast Pace Kentucky, Pllc | 0143525998 | 180 |
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 Kristin Hance allows following entities to bill medicare on her behalf.
| Entity Name | Bluegrass Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104106954 PECOS PAC ID: 9830350685 Enrollment ID: O20120423000216 |
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| Entity Name | Buc Newport Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679982250 PECOS PAC ID: 0446574339 Enrollment ID: O20150126000328 |
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| Entity Name | Buc Independence Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417330150 PECOS PAC ID: 3779884747 Enrollment ID: O20151216000859 |
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| Entity Name | Fast Pace Kentucky, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457716706 PECOS PAC ID: 0143525998 Enrollment ID: O20160216002913 |
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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 Kristin Hance 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 Kristin Hance, 292 Brooks Malott Rd., Mt. Orab, OH 45154 Ph: (937) 444-0035 | Ms Nicole Kristin Hance, 292 Brooks Malott Rd., Mt. Orab, OH 45154 Ph: (937) 444-0035 |
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