DR. NICOLE ZIOBRON DNP, PMHNP-BC
NPI 1104469899
Nurse Practitioner - Psychiatric/Mental Health in Martinsburg, WV
NPI Status: Active since October 24, 2019
Contact Information
51 STREET OF DREAMS
MARTINSBURG, WV
ZIP 25403
Phone: (304) 264-1442
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
- PECOS Enrolled
About NICOLE ZIOBRON
This page provides the complete NPI Profile along with additional information for Nicole Ziobron, a provider established in Martinsburg, West Virginia with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1104469899 assigned on October 2019. The practitioner's primary taxonomy code is 363LP0808X with license number 106282 (WV). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1104469899
- Provider Name
- DR. NICOLE ZIOBRON DNP, PMHNP-BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 51 STREET OF DREAMS MARTINSBURG, WV 25403
- Location Phone
- (304) 264-1442
- Mailing Address
- 51 STREET OF DREAMS MARTINSBURG, WV 25403
- Mailing Phone
- (304) 264-1442
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-24-2019
- Last Update Date
- 05-12-2024
- Code Navigator
A nurse practitioner (NP) like Nicole Ziobron is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 106282
- License State
- WV
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Silver 7000 - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 1500 - PPO
- my Blue Access WV PPO Standard Silver 5000 - PPO
- my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nicole Ziobron is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 41 times for 15 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 25403 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.49
- Minimum New Patient Price $53.2
- Maximum New Patient Price $164.59
- Average New Patient Copayment $20.87
- Minimum New Patient Copayment $13.3
- Maximum New Patient Copayment $41.14
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.81
- Minimum Established Patient Price $16.47
- Maximum Established Patient Price $133.29
- Average Established Patient Copayment $23.7
- Minimum Established Patient Copayment $4.11
- Maximum Established Patient Copayment $33.32
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. NICOLE ZIOBRON DNP, PMHNP-BC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 4 | 6 | 9 | 8 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 8 | 6 | 18 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 8 + 6 + 1 + 8 + 8 + 1 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1104469899 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760589964 | FIRST PRIORITY MEDICAL CHOICE Organization | Chiropractor | 51 STREET OF DREAMS MARTINSBURG, WV 25403 (304) 263-4927 |
| 1841422045 | CHAMBERS CHIROPRACTIC OFFICES, C.C. INC Organization | Chiropractor | 51 STREET OF DREAMS MARTINSBURG, WV 25403 (304) 263-4927 |
| 1760795405 | MARTINSBURG URGENT CARE INC Organization | Family Medicine | 51 STREET OF DREAMS MARTINSBURG, WV 25403 (304) 264-1442 |
| 1508106550 | MRS. CAMILLA FRENCH REBUCK LICSW Individual | Social Worker (Clinical) | 51 STREET OF DREAMS MARTINSBURG, WV 25403 (304) 264-1442 |
| 1891246724 | BARBARA ANN KADESKY NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 51 STREET OF DREAMS MARTINSBURG, WV 25403 (304) 264-1442 |
| 1114580347 | SUSAN CLARK CSW Individual | Social Worker (Clinical) | 51 STREET OF DREAMS MARTINSBURG, WV 25403 (304) 264-1442 |
| 1346342458 | DR. SHAHNOOR ALI KHAN MD Individual | Psychiatry & Neurology (Psychiatry) | 51 STREET OF DREAMS MARTINSBURG, WV 25403 (304) 264-1442 |
| 1275169914 | MS. SUSANNE CAROLINE LILLY Individual | Social Worker (Clinical) | 51 STREET OF DREAMS MARTINSBURG, WV 25403 (304) 224-2556 |
| 1407930225 | EASTERN PANHANDLE PSYCHIATRY, INC Organization | Community/Behavioral Health | 51 STREET OF DREAMS MARTINSBURG, WV 25403 (304) 264-1442 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104469899, enumerated in the NPI registry as an "individual" on October 24, 2019
The provider is located at 51 Street Of Dreams Martinsburg, Wv 25403 and the phone number is (304) 264-1442
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.49 with an average copayment of $20.87 for new patient appointments. Established patients should expect a typical charge of $94.81 and an average copayment of 23.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes.
This NPI record was last updated on October 24, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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