Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nichola L Warnecke , CNP

Nurse Practitioner • Lima, OH

Active NPI 1376824086 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2793 Shawnee Rd
Lima, OH 458061444

Call 4192278209 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2793 Shawnee Rd

Lima, OH 458061444

Telephone 4192278209
Fax 4192226007
Organization at the Same NPPES Address or Phone
Gastro-Intestinal Associates, Inc Facility NPI 1275571929

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Gcga Physicians Inc.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

Medicare patients

381 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $48,773 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $34,112 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

4,705 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$303,360 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $7,219.26 across 134 records.

By nature of payment

  • Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $4,725.00 across 4 records.
  • Food and Beverage: $2,494.26 across 130 records.

Reporting-company totals (3 largest of 21)

  • ABBVIE INC.: $5,390.40 across 39 records.
  • Takeda Pharmaceuticals U.S.A., Inc.: $383.47 across 21 records.
  • Janssen Pharmaceuticals, Inc: $266.07 across 11 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nichola Warnecke has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Nichola Warnecke as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lima and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Lima, OH (2024, 30 clinicians with data). Median for this group: 447. Middle half: 144 to 801.

More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,818 clinicians with data). Median for this group: 200. Middle half: 88 to 433.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Lima, OH (2024, 30 clinicians with data). Median for this group: $33,268. Middle half: $13,895 to $50,386.

A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,818 clinicians with data). Median for this group: $14,951. Middle half: $6,741 to $30,419.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Lima, OH (2024, 30 clinicians with data). Median for this group: $24,973. Middle half: $10,193 to $36,594.

A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,818 clinicians with data). Median for this group: $11,271. Middle half: $4,822 to $22,325.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Lima, OH (2024, 32 clinicians with data). Median for this group: 360. Middle half: 133 to 1,119.

More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,959 clinicians with data). Median for this group: 341. Middle half: 96 to 1,340.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Lima, OH (2024, 32 clinicians with data). Median for this group: $9,592. Middle half: $801 to $103,799.

A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,959 clinicians with data). Median for this group: $17,113. Middle half: $1,155 to $142,896.

44 active clinicians are listed under Nurse Practitioner with a practice address in Lima, OH (4,380 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lima

11.4% of these 44 clinicians have the CMS telehealth indicator.

70.5% of these 44 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 134 records totaling $7,219.26.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
LINZESS General $2,100.00
ABBVIE INC.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
CREON General $900.00
ABBVIE INC.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
CREON General $900.00
ABBVIE INC.
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
LINZESS General $825.00
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $112.00
ABBVIE INC.
Food and Beverage
In-kind items and services
VRAYLAR General $103.81
Gilead Sciences, Inc.
Food and Beverage
In-kind items and services
Livdelzi General $96.41
ABBVIE INC.
Food and Beverage
In-kind items and services
LINZESS General $93.90
Ferring Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
REBYOTA General $33.34
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $29.33
ABBVIE INC.
Food and Beverage
In-kind items and services
LINZESS General $28.39
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $27.60
Ardelyx, Inc.
Food and Beverage
In-kind items and services
IBSRELA General $26.69
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
EOHILIA General $26.32
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
EOHILIA General $25.76
QOL Medical, LLC
Food and Beverage
In-kind items and services
Sucraid General $25.74
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $25.69
Pfizer Inc.
Food and Beverage
In-kind items and services
VELSIPITY General $25.54
ABBVIE INC.
Food and Beverage
In-kind items and services
CREON General $25.45
Pfizer Inc.
Food and Beverage
In-kind items and services
XELJANZ General $25.44
Pfizer Inc.
Food and Beverage
In-kind items and services
VELSIPITY General $24.78
Pfizer Inc.
Food and Beverage
In-kind items and services
VELSIPITY General $24.56
Organon LLC
Food and Beverage
In-kind items and services
HADLIMA General $24.17
Pfizer Inc.
Food and Beverage
In-kind items and services
XELJANZ General $24.04
Ardelyx, Inc.
Food and Beverage
In-kind items and services
IBSRELA General $23.78

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
243 197 $227.44 $71.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
145 121 $333.72 $102.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
114 114 $520.11 $133.67
76981 Ultrasound scan of organ tissue for measuring elasticity
15 15 $340.00 $81.08

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Pantoprazole Sodium Pantoprazole Sodium 418 34,560 $6,961.86 138
Famotidine Famotidine 354 28,282 $4,190.66 113
Omeprazole Omeprazole 328 24,357 $4,065.24 101
Sucralfate Sucralfate 185 10,338 $12,909.81 62
Dicyclomine Hcl Dicyclomine Hcl 121 6,447 $2,340.20 40
Ondansetron Odt Ondansetron 96 1,190 $1,703.57 31
Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates 82 96 $5,095.12 81
Esomeprazole Magnesium Esomeprazole Magnesium 78 5,590 $2,923.63 22
Linzess Linaclotide 73 4,110 $71,917.07 20
Colestipol Hcl Colestipol Hcl 48 2,875 $3,117.62 16
Dexlansoprazole Dr Dexlansoprazole 45 2,490 $8,516.44 —
Loperamide Loperamide Hcl 43 1,965 $2,091.40 16
Lactulose Lactulose 32 1,460 $846.91 16
Xifaxan Rifaximin 31 884 $101,197.77 —
Promethazine Hcl Promethazine Hcl 27 382 $655.92 —
Ursodiol Ursodiol 22 1,560 $2,290.48 —
Mercaptopurine Mercaptopurine 20 1,154 $2,785.31 —
Ondansetron Hcl Ondansetron Hcl 18 534 $3,820.12 —
Constulose Lactulose 17 605 $658.91 —
Zenpep Lipase/Protease/Amylase 17 775 $51,821.36 —
Lansoprazole Lansoprazole 15 1,160 $740.29 —
Sodium Chloride 0.9 % Sodium Chloride 15 126 $85.28 —
Movantik Naloxegol Oxalate 13 390 $4,948.39 —
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 12 360 $103.65 —
Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine 12 900 $585.13 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OH 12593 NP

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20110930000297

Enrollment State Jurisdiction

OH

PECOS Control ID

9537331251

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Gcga Physicians Inc.

1800 E 5th St, Delphos, OH 458339180

Phone: 4192278209

Gcga Physicians Inc.

2793 Shawnee Rd, Lima, OH 458061444

Phone: 4192278209

Gcga Physicians Inc.

2925 Vernon Pl, Cincinnati, OH 452192425

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

15 listed
Dennis Bullen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1174579924

Certified Registered Nurse Anesthetist

Duane Fuerst , CRNA

Nurse Anesthetist, Certified Registered

NPI 1972596468

Certified Registered Nurse Anesthetist

Laurie Knippen , CNP

Nurse Practitioner

NPI 1154360030

Certified Nurse Practitioner

Dr. Jayde Kurland , MD

Internal Medicine - Gastroenterology

NPI 1992785430

Doctor of Medicine (M.D.)

Dr. Mark Leifer , MD

Internal Medicine - Gastroenterology

NPI 1225009699

Doctor of Medicine (M.D.)

Dr. David Long , DO

Internal Medicine - Gastroenterology

NPI 1205398997

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History

NPI enumerated September 08, 2011.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1376824086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2011
Last Update: April 18, 2024
Sole Proprietor: No

Other Nurse Practitioners in Lima

All Nurse Practitioners in Lima

Mailing Address

2793 Shawnee Rd

Lima, OH 458061444

Phone: 4192278209

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.