Nicole E Petgrave, NURSE PRACTITIONER - Medicare Nurse Practitioner in Mentor, OH

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Nicole E Petgrave, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Gerontology" in Mentor, Ohio. Her current practice location is 8200 Mentor Hills Dr, Mentor, Ohio. You can reach out to her office (for appointments etc.) via phone at (800) 427-1902.

Nicole E Petgrave is licensed to practice in Ohio (license number APRN.CNP.024887) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649812405.

Contact Information

Nicole E Petgrave, NURSE PRACTITIONER
8200 Mentor Hills Dr,
Mentor, OH 44060-7861
(800) 427-1902
(419) 531-2664

Map and Direction




Provider's Profile

Full NameNicole E Petgrave
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location8200 Mentor Hills Dr, Mentor, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649812405
  • Provider Enumeration Date: 10/14/2019
  • Last Update Date: 10/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3779915004
  • Enrollment ID: I20191107001101

Medical Identifiers

Medical identifiers for Nicole E Petgrave such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649812405NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health APRN.CNP.024887 (Ohio)Secondary
363LG0600XNurse Practitioner - Gerontology APRN.CNP.024887 (Ohio)Primary

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. Nicole E Petgrave allows following entities to bill medicare on her behalf.
Entity NameHcr Manorcare Medical Services Of Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386750420
PECOS PAC ID: 2264338532
Enrollment ID: O20041210000189
Entity NameStafford Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679542021
PECOS PAC ID: 4486678901
Enrollment ID: O20060123000759
Entity NameWound Care Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831495373
PECOS PAC ID: 2567646359
Enrollment ID: O20110401000409
Entity NameOhio Living Palliative Care Greater Toledo Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861981656
PECOS PAC ID: 3476803594
Enrollment ID: O20180911000364
Entity NamePremium Quality Np, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891303764
PECOS PAC ID: 9830515626
Enrollment ID: O20200811001803
Entity NameOhio Living Holdings
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952799835
PECOS PAC ID: 8729111471
Enrollment ID: O20201125001472

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. Nicole E Petgrave 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 AddressPractice Location Address
Nicole E Petgrave, NURSE PRACTITIONER
333 N Summit St Fl 7,
Toledo, OH 43604-1531

Ph: (419) 252-6018		Nicole E Petgrave, NURSE PRACTITIONER
8200 Mentor Hills Dr,
Mentor, OH 44060-7861

Ph: (800) 427-1902

Reviews and Comments


Nurse Practitioner Nurses in Mentor, OH

Gina Lynn Berardinelli, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9485 Mentor Ave Ste 102, Mentor, OH 44060
Phone: 440-266-5500    Fax: 440-266-5505
Mrs. Christina Scott, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9485 Mentor Ave, Ste 210, Mentor, OH 44060
Phone: 440-255-5571    Fax: 440-205-5744
Blake Wollam,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7060 Wayside Dr, Mentor, OH 44060
Phone: 440-357-2770    
Robert Kollar,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7232 Justin Way, Mentor, OH 44060
Phone: 440-578-8200    
Mrs. Brittany Louise Skinner, C.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9485 Mentor Avenue, Suite 210, Mentor, OH 44060
Phone: 440-255-5571    Fax: 440-205-5744
Robin Jean Mills, PMHNP-BC, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7232 Justin Way, Mentor, OH 44060
Phone: 440-578-8200    
Rylie Mcpartland, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8445 Munson Rd, Mentor, OH 44060
Phone: 440-255-1700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.