Nicole Marie Wurstle, PA-C - Medicare Physician Assistant in Mansfield, OH

Nicole Marie Wurstle, PA-C is a medicare enrolled "Physician Assistant" in Mansfield, Ohio. Her current practice location is 1221 S Trimble Rd Bldg C, Mansfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 664-3595.

Nicole Marie Wurstle is licensed to practice in Ohio (license number 50.005159RX) 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 1598288185.

Contact Information

Nicole Marie Wurstle, PA-C
1221 S Trimble Rd Bldg C,
Mansfield, OH 44907-2200
(614) 664-3595
Not Available



Provider's Profile

Full NameNicole Marie Wurstle
GenderFemale
SpecialityPhysician Assistant
Location1221 S Trimble Rd Bldg C, Mansfield, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598288185
  • Provider Enumeration Date: 07/25/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0042617276
  • Enrollment ID: I20230829003049

Medical Identifiers

Medical identifiers for Nicole Marie Wurstle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598288185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50.005159RX (Ohio)Primary

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 Marie Wurstle 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 Marie Wurstle, PA-C
1221 S Trimble Rd Bldg C,
Mansfield, OH 44907-2200

Ph: (614) 664-3595
Nicole Marie Wurstle, PA-C
1221 S Trimble Rd Bldg C,
Mansfield, OH 44907-2200

Ph: (614) 664-3595

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› Verified 4 days ago


Physician Assistant Nurses in Mansfield, OH

Mrs. Lisa Valente Cox, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 335 Glessner Ave, Mansfield, OH 44903
Phone: 419-522-2734    Fax: 419-522-2240
Mr. Kyle Benjamin Gambrel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 335 Glessner Ave, Mansfield, OH 44903
Phone: 740-383-8473    Fax: 740-383-8695
Mrs. Jill S Vidrine, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 536 S Trimble Rd, Mansfield, OH 44906
Phone: 419-756-8899    
Amanda Renee Movens, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 335 Glessner Ave, Mansfield, OH 44903
Phone: 740-383-8473    Fax: 740-383-8695
Marissa Catherine Lacey, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 335 Glessner Ave, Mansfield, OH 44903
Phone: 419-522-2734    
Emily N Keller, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 335 Glessner Ave Fl Mob2, Mansfield, OH 44903
Phone: 567-241-7700    Fax: 567-241-7719
Susan K Kempf,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 629 Fox Run St, Mansfield, OH 44903
Phone: 419-961-2494    

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