Nichole Lee Denton, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2090000000 Issued in IL

Practice address

1019 Charleston Ave E
Mattoon, IL 61938-6226

Phone

(217) 508-4940

Fax

(217) 508-4946

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toofan Medical Holdings, LTDGroup PAC ID 6800026006, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Toofan Medical Holdings, LTD.

  dba Effingham Express Care

  • Urgent Care Clinic/Center
  • Effingham, IL
  • NPI 1396179693
  Medicare reassignment Care Compare group NPD
• Toofan Medical Holdings, LTD

  dba Central Illinois Urgent Care

  • Urgent Care Clinic/Center
  • Mattoon, IL
  • NPI 1396578092
  NPD

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1245055011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CHARLESTON AVE E",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619386226",
            "telephone_number": "217-508-4940",
            "fax_number": "217-508-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 CHARLESTON AVE E",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619386226",
            "telephone_number": "217-508-4940",
            "fax_number": "217-508-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "NICHOLE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2090000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Vernon Davis I
• Shanna Leigh Davis, ATC
• Troy Davis, DPT
• Alexis Destinee Dearing
• Adam Defina
• Jennifer Derrickson, APRN
• Sandra Marie Derrickson, PHARMD RPH
• Gregory Deters, M.D.
• Jillian Christine Deters
• Alicia Devitt

• Family Nurse Practitioner in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.