Nicole M Beard, APN
Individual provider Active NPI Family Nurse Practitioner · Chatham, IL
NPI 1508569856 · NPPES record last updated May 2, 2023
Key facts
- NPI
- 1508569856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209027331 (IL)
- Practice address
- 101 E Plummer Blvd
Chatham, IL 62629-8047 - Phone
- (217) 588-2600
- Fax
- (217) 862-0202
- NPI assigned
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Physician Services
Practice addresses (Care Compare)
101 E Plummer Blvd
Chatham, IL 62629-8047
Phone (217) 588-2600
Hospital & facility affiliations
- Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.44 of 100
- Quality
- 71.79
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.71
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230602002429 | IL | Practitioner - Nurse Practitioner | 4183081300 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Physician Services | Current | Accepting new patients | |
| Memorial Physician Services | Current |
Accepting new patients | |
| Memorial Physician Services | Current |
Accepting new patients | |
| Family Medical Center of Chatham, LLC | Current | Accepting new patients |
Locations
101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487
3132 Old Jacksonville Rd
Ste 110
Springfield, IL 62704
Phone (217) 588-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209027331 | IL | Yes |
Addresses
Primary practice location
101 E Plummer Blvd
Chatham, IL 62629-8047
Mailing address
PO Box 3428
Springfield, IL 62708-3428
Phone (217) 588-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041.431038 | Other | IL | RN |
Other names
- Nicole M Henderson
Other providers in Chatham, IL
- Dana M Affrunti
- Madelyn Jane Althoff
- Molly Anderson
- Amy Angeli
- Ball Chatham Comm Unit School District 5
- Alexys Rae Bergschneider
- Rebecca Boyd
- Christina Ann Brewer
- William E. Brewer
- Brian McNeil, Inc
All providers in Chatham, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2023. 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.