Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Christine Boucuvalas, CNP

Individual provider Family Nurse Practitioner · NPI 1851843668

Nicole Christine Boucuvalas, CNP is a Nurse Practitioner in Springboro, Ohio. Qualified in 2016, 10 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

825 N Main St Ste 130
Springboro, OH 45066-2100
Phone: (937) 433-5309
Fax: (937) 424-3650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 165 Edwin C. Moses Blvd, Dayton, OH 45402-8472 — (937) 558-0200
  • 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459-3823 — (937) 558-0200
  • 450b Washington Jackson Rd Ste 111, Eaton, OH 45320-7601 — (937) 558-0200
  • 1250 W National Rd Ste 100a, Englewood, OH 45315-9505 — (937) 558-0200
  • 8701 Old Troy Pike Ste 40a, Huber Heights, OH 45424-1066 — (937) 558-0200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.020071 (OH)

Record details

NPI number1851843668
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 27, 2016
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients309
Services billed 4,193 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Kettering Independent Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 700 clinicians in the practice; 12 are shown here.

Other providers in Springboro