Nicole Eustace, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

125060772 Issued in IL

Practice address

1850 E 53Rd St
Davenport, IA 52807-2784

Phone

(563) 359-4106

NPI assigned

Jul 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Morrison Community Hospital DistrictGroup PAC ID 2466349907, shared by 6 NPIs, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morrison Community Hospital Hospital, Morrison, IL, CCN 141329
• CGH Medical Center Hospital, Sterling, IL, CCN 140043
• Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: neustace@mchstaff.securechart.com
• Direct secure messaging: nicoleeustace@mchospital.medalliesdirect.net

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.

• Morrison Community Hospital District

  • Critical Access Hospital
  • Morrison, IL
  • NPI 1184844938
  Medicare reassignment NPD
• Morrison Community Hospital District

  • Family Medicine Physician
  • Morrison, IL
  • NPI 1700907250
  Medicare reassignment NPD
• Morrison Community Hospital District

  • Critical Access Hospital
  • Morrison, IL
  • NPI 1891816344
  Medicare reassignment NPD
• Morrison Community Hospital District

  • Counselor
  • Morrison, IL
  • NPI 1881331981

  Family Medicine

  NPD
• Ideal Health and Wellness, SC

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1689013393
  NPD (past)

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

• Mercy Medical Center-Clinton, Inc

  • General Acute Care Hospital
  • Clinton, IA
  • NPI 1427093962
  Care Compare affiliation
• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Care Compare affiliation
• Morrison Community Hospital District

  • Critical Access Hospital
  • Morrison, IL
  • NPI 1184844938
  Care Compare affiliation

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1346505278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 CLOVER HILL LN",
            "city": "LE CLAIRE",
            "state": "IA",
            "postal_code": "527539269",
            "telephone_number": "312-505-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072784",
            "telephone_number": "563-359-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTACE",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD4007",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125060772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy G Escontrias, ARNP
• Maria Teresa Eseverri, DDS
• James Allen Estes, M.A., LCPC, NCC
• Melissa Michelle Estes, MFT, L.C.P.C.
• Eugene Collins MDPC
• Eutierria Chiropractic LLC
• David Andrew Evans, LMSW
• Jordan Brady Evans, MD
• Chloe Even
• Everside Health, LLC

• Family Medicine Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.