Individual provider Active NPI

Nicholas Florence, M.D.

  • Diagnostic Radiology Physician
  • Normal, IL
National Provider Identifier
1093100554
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036151532 Issued in IL
Practice address
1300 Franklin Ave
Normal, IL 61761-3592
Phone
(309) 454-1400
NPI assigned
Apr 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036151532 IL Primary

Addresses

Primary practice location

1300 Franklin Ave
Normal, IL 61761-3592

Mailing address

611 W Park St
Urbana, IL 61801-2501

Other practice location 1

2650 Ridge Ave.
Dept. of Radiology
Evanston, IL 60201
Phone (847) 570-2475

Other practice location 2

5841 S Maryland Ave
M/C 2026
Chicago, IL 60637-1447
Phone (773) 702-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200324000181 IL Practitioner - Diagnostic Radiology 5890087852 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians

Practice addresses (Care Compare)

101 S Major St
Eureka, IL 61530-1246
Phone (309) 304-2128

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

3024 E Empire St
Bloomington, IL 61704-5402

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

911 S Chestnut St
Le Roy, IL 61752-1894
Phone (309) 962-2035

Hospital & facility affiliations

  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127
  • Carle Eureka Hospital Hospital, Eureka, IL, CCN 141309
  • St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162
  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091
  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Hospital Association CurrentSince Jan 15, 2024 Accepting new patients
Carle West Physician Group Inc CurrentSince May 8, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 1, 2020 Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Jun 21, 2023 Accepting new patients
Carle Health Care Incorporated CurrentSince May 8, 2023 Accepting new patients
Graham Hospital Association CurrentSince Jan 15, 2024 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jun 21, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 1, 2020 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
University of Chicago Medical Center Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311

210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240

180 S Main St
Canton, IL 61520
Phone (309) 647-5240

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2200 Fort Jesse Rd
Ste 280
Normal, IL 61761
Phone (800) 755-9195

1300 Franklin Ave
Normal, IL 61761
Phone (309) 268-3502

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1093100554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613592",
            "telephone_number": "309-454-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Ridge Ave.",
            "address_2": "Dept. of Radiology",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "60201",
            "country_code": "US",
            "telephone_number": "847-570-2475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave",
            "address_2": "M/C 2026",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371447",
            "country_code": "US",
            "telephone_number": "773-702-3550",
            "fax_number": "773-834-6237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORENCE",
        "first_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036151532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.