Individual provider Active NPI

Nichole R Schold, APRN

  • Family Nurse Practitioner
  • Silvis, IL
National Provider Identifier
1417417650
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019004 Issued in IL
Practice address
801 Illini Dr
Silvis, IL 61282-1804
Phone
(309) 721-4001
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.019004 IL Primary

Addresses

Primary practice location

801 Illini Dr
Silvis, IL 61282-1804

Mailing address

801 Illini Dr
Silvis, IL 61282-1804

Other identifiers 1

IdentifierTypeStateIssuer
209.019004OtherILSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190927000745 IL Practitioner - Nurse Practitioner 9537499918 Reassigns benefits to 2 organizations
I20230207001864 IA Practitioner - Nurse Practitioner 9537499918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 W 18TH Ave
Unitypoint CL Fam Med Coal Valley
Coal Valley, IL 61240-9337
Phone (309) 799-7518

1776 W Lakes Pkwy
West Des Moines, IA 50266-8378
Phone (515) 241-3510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.019004ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Feb 27, 2023 Accepting new patients
Unity Healthcare Current Accepting new patients
Genesis Health System CurrentSince Aug 17, 2019 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2236
Bettendorf, IA 52722
Phone (563) 355-9996

3415 53rd Ave
Bettendorf, IA 52722
Phone (563) 742-4350

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

3426 N Port Dr
Ste 200
Muscatine, IA 52761
Phone (563) 264-9508

1776 Westlakes Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 241-3510

6010 Mills Civic Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 221-7800

104 W 18th Ave
Coal Valley, IL 61240
Phone (309) 779-7581

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: nschold943364@direct.unitypoint.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1417417650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ILLINI DR",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ILLINI DR",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821804",
            "telephone_number": "309-721-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLD",
        "first_name": "NICHOLE",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "209.019004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silvis, IL

Sources for this page

Verify at the official NPI Registry.