Nicole L Cupp
NICOLE L. CUPP DPM PLLC


Address: 234 Se Debell Ave, Advanced Podiatry of Bartlesville, Bartlesville, OK 74006-2305
Phone: 9188760476

Nicole L Cupp (NPI# 1619298346, PAC ID# 7719121946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1619298346
PAC ID by PECOS 7719121946
Professional Enrollment ID I20130910000254
Full Name Nicole L Cupp
Organization Legal Name NICOLE L. CUPP DPM PLLC
Address 234 Se Debell Ave
Advanced Podiatry of Bartlesville
Bartlesville
OK 74006-2305
Phone Number 9188760476
Gender F
Medical School BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE
Graduation Year 2001
Primary Specialty PODIATRY
Group Practice PAC ID 7618281908
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370018 JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC
170145 COFFEYVILLE REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
234 Se Debell Ave, Advanced Podiatry of Bartlesville, Bartlesville, OK 74006-2305 9188760476 NICOLE L. CUPP DPM PLLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_126_overall Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation 100%
MIPS_EC_127_overall Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear 100%
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 100%

Organization Information

Organization Legal Name NICOLE L. CUPP DPM PLLC
Physicians 1

Office Location

Street Address 234 SE DEBELL AVE
ADVANCED PODIATRY OF BARTLESVILLE
City BARTLESVILLE
State OK
Zip 74006-2305

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Margaret L White Nurse Practitioner Holland and Robertson Ear Nose and Throat LLC 205 Se Howard Ave, Bartlesville, OK 74006-2204
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John W Hatchett General Surgery Oklahoma Cancer Specialists and Research Institute, LLC 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406
Patricia A Catts Nurse Practitioner Oklahoma Cancer Specialists and Research Institute, LLC 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406
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Competitor

Search similar physicians

City BARTLESVILLE
Zip Code 74006
Specialty PODIATRY
City + Specialty BARTLESVILLE + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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