Doctor profile · Federal record
Dr. NICOLE PETGRAVE, NURSE PRACTITIONER
Gerontology Nurse Practitioner · Adult Health Nurse Practitioner · MENTOR, OH
- NPI 1649812405
- MIPS 74.3 / 100 · 2023
- 7 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8200 MENTOR HILLS DR
MENTOR, OH 440607861
(800) 427-1902
fax (419) 531-2664 - Mailing address
-
333 N SUMMIT ST FL 7
TOLEDO, OH 436041531
Credentials & registration
- NPI registered
- October 2019 — 7 yrs on file
- Profile last updated
- October 15, 2019
- Specialty taxonomy
- 363LG0600X — NUCC code
- State license (1)
- Ohio #APRN.CNP.024887
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649812405. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
811
Distinct HCPCS
8
Medicare allowed
$65,903
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99309 |
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 304 | 100 | $88 | |
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 203 | 83 | $61 | |
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 126 | 33 | $104 | |
99348 |
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 116 | 29 | $63 | |
99305 |
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 19 | 19 | $110 | |
99306 |
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 16 | 15 | $151 | |
99342 |
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 15 | 15 | $65 | |
99304 |
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 12 | 12 | $67 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 95. This provider delivers 8.5× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
281
Patients
32
Total drug cost
$14,729
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 33 | 19 | $476 |
| Eliquis (Apixaban) | Brand | 26 | 0 | $7,454 |
| Potassium Chloride | Generic | 24 | 0 | $1,448 |
| Tramadol Hcl | Generic | 24 | 0 | $114 |
| Amlodipine Besylate | Generic | 23 | 13 | $218 |
| Furosemide | Generic | 19 | 0 | $133 |
| Hydralazine Hcl | Generic | 19 | 0 | $437 |
| Alprazolam | Generic | 18 | 0 | $186 |
| Lisinopril | Generic | 15 | 0 | $120 |
| Trazodone Hcl | Generic | 15 | 0 | $137 |