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

Nichole Marie Pore

Individual provider Family Nurse Practitioner · NPI 1568745123

Nichole Marie Pore is a Nurse Practitioner in Youngstown, Ohio. Qualified in 2003, 23 years ago. Practices with The Kidney Group Inc, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Licensed in
PA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1340 Belmont Ave Ste 2300
Youngstown, OH 44504-1125
Phone: (330) 746-1488
Fax: (330) 746-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26 Nesbitt Rd Ste 100, New Castle, PA 16105-3417 — (724) 658-7790

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SPO11612 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN547445 (PA)

Record details

NPI number1568745123
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2011
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice The Kidney Group Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Youngstown