| Nicolette Wise Black, NP | |
|
4465 Darrow Rd, Stow, OH 44224-1884 | |
| (330) 688-9501 | |
| (330) 688-9510 |
| Full Name | Nicolette Wise Black |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 4465 Darrow Rd, Stow, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881959799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP9341280 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.023945 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Portage Medical Center | Ravenna, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Unity Health Network Llc | 0244379717 | 73 |
| Entity Name | Unity Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205169836 PECOS PAC ID: 0244379717 Enrollment ID: O20091124000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolette Wise Black, NP 4465 Darrow Rd, Stow, OH 44224-1884 Ph: (330) 688-9501 | Nicolette Wise Black, NP 4465 Darrow Rd, Stow, OH 44224-1884 Ph: (330) 688-9501 |
Emily A Simon, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2971 Graham Rd, Stow, OH 44224 Phone: 330-688-7981 Fax: 330-688-7469 | |
Nancy Scaglione, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2971 Graham Rd, Stow, OH 44224 Phone: 330-688-7981 Fax: 330-688-7469 | |
Amy M Mikusa, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2971 Graham Rd, Stow, OH 44224 Phone: 330-688-7981 Fax: 330-688-7469 | |
Kathryn Yanke, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3925 Darrow Rd Ste 105, Stow, OH 44224 Phone: 330-686-8424 | |
Sharon Rosemary Smith, MSN RN CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2713 Santa Anita Dr, Stow, OH 44224 Phone: 330-686-3194 | |
Sharon N Magoolaghan, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4302 Allen Rd Ste 300, Stow, OH 44224 Phone: 330-945-7246 Fax: 330-945-9920 | |
Laura Bosko, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4161 Bridgewater Pkwy, Stow, OH 44224 Phone: 330-865-4644 |