Nicole Fyie, M.D.
Individual provider Active NPI Family Medicine Physician · Fairfield, IL
NPI 1447562269 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1447562269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036132148 (IL)
- Practice address
- 213 NW 10TH St Ste a
Fairfield, IL 62837-1219 - Phone
- (618) 842-4617
- Fax
- (618) 842-4743
- NPI assigned
- Jul 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wabash General Hospital District
Practice addresses (Care Compare)
1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 262-8621
Hospital & facility affiliations
- LHC-Illinois Home Health Care
- Clay Home Health Services
- Wabash General Hospital 1
- Fairfield Memorial Hospital 1
- Deaconess Hospital Inc
- Good Samaritan Hospital
- Good Samaritan Regional HLTH Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.72 of 100
- Quality
- 65.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131120000889 | IL | Practitioner - Family Practice | 3870748007 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036132148 | IL | MD | Family Medicine Physician |
| 11015708 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wabash General Hospital District | Current |
Accepting new patients | |
| Wabash General Hospital District | Current |
Accepting new patients | |
| Wabash General Hospital District | Past | Accepting new patients |
Locations
26 E Elm St
Albion, IL 62806
Phone (618) 375-7101
1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621
Interoperability endpoints
- nfyie@direct.horizonhealthcare.nextgenshare.com
- nfyie@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11015708 | IN | |
| Family Medicine Physician | 207Q00000X | 036132148 | IL | Yes |
Addresses
Primary practice location
213 NW 10TH St Ste a
Fairfield, IL 62837-1219
Mailing address
213 NW 10TH St Ste a
Fairfield, IL 62837-1219
Phone (618) 842-4617
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nfyie@direct.horizonhealthcare.nextgenshare.com | Direct | Fairfield Memorial Hospital Association |
Other providers in Fairfield, IL
- Erica T Fearday
- Melissa Felowitz
- Leyth Fenton
- Ryan Douglas Ferguson
- Emma Funk
- Melissa D. Gibbs
- Dana Lynn Gilbert
- Lauren Griswold
- Francis Guerra-Bauman
- Bryce Michael Harrison
All providers in Fairfield, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.