Individual provider Active NPI

Nichole L Pourier, APRN

  • Primary Care Nurse Practitioner
  • Chadron, NE
National Provider Identifier
1285617522
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
110663 Issued in NE
Practice address
300 Shelton St
Chadron, NE 69337-2312
Phone
(308) 432-4441
Fax
(308) 432-4446
NPI assigned
Nov 21, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 110663 NE Primary

Addresses

Primary practice location

300 Shelton St
Chadron, NE 69337-2312

Mailing address

825 Centennial Dr
Chadron, NE 69337-9400
Phone (308) 432-0264

Other names 1

  • Nichole L Dodd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20050120000868 NE Practitioner - Nurse Practitioner 5597714154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
110663NEMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chadron Community Hospital Corp. Current Accepting new patients
Chadron Medical Clinic PC Past Accepting new patients
Chadron Community Hospital Corp. Past Accepting new patients

Locations

825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441

11 Paddock St
Crawford, NE 69339
Phone (308) 665-1770

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285617522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CENTENNIAL DR",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693379400",
            "telephone_number": "308-432-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SHELTON ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372312",
            "telephone_number": "308-432-4441",
            "fax_number": "308-432-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURIER",
        "first_name": "NICHOLE",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "110663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "DODD",
            "middle_name": "L",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chadron, NE

Sources for this page

Verify at the official NPI Registry.