| Nicole Christine Boucuvalas, CNP | |
|
825 N Main St Ste 130, Springboro, OH 45066-2100 | |
| (937) 433-5309 | |
| (937) 424-3650 |
| Full Name | Nicole Christine Boucuvalas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 825 N Main St Ste 130, Springboro, 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 |
|---|---|---|---|
| 1851843668 | NPI | - | NPPES |
| 0190775 | Medicaid | OH | |
| H522020 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.020071 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Soin Medical Center | Beaver creek, OH | Hospital |
| Greene Memorial Hospital | Xenia, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kettering Independent Medical Group Inc | 3173710936 | 577 |
| Entity Name | Alliance Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
| Entity Name | Dayton Osteopathic Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588630347 PECOS PAC ID: 7618878877 Enrollment ID: O20040120000374 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Christine Boucuvalas, CNP 825 N Main St Ste 130, Springboro, OH 45066-2100 Ph: (937) 433-5309 | Nicole Christine Boucuvalas, CNP 825 N Main St Ste 130, Springboro, OH 45066-2100 Ph: (937) 433-5309 |
Miss Saundra D Zerbe, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 662 N Main St, Springboro, OH 45066 Phone: 937-641-5066 Fax: 937-550-9797 | |
Stacy T Sullenberger, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 662 N Main St, Springboro, OH 45066 Phone: 937-641-5066 Fax: 937-550-9797 | |
Paula A Eichmann, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 662 N Main St, Springboro, OH 45066 Phone: 937-641-5066 Fax: 937-550-9797 | |
Joia Lynn Henson, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 825 N Main St Ste 210, Springboro, OH 45066 Phone: 937-762-5500 Fax: 937-762-5099 | |
Angela Marie Frazer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 N Main St, Springboro, OH 45066 Phone: 866-389-2727 | |
Elizabeth Marrie Richards, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 N Main St, Springboro, OH 45066 Phone: 937-748-1135 | |
Cherry Hawkins, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 E Central Ave, Springboro, OH 45066 Phone: 937-207-0975 |