Lillian Mishelle Nicks, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17527 Issued in SC

Practice address

104 Innovation Dr
Suite 2000
Greenville, SC 29607-5253

Phone

(864) 603-6300

Fax

(864) 603-6160

NPI assigned

Aug 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Francis-Downtown Hospital, Greenville, SC, CCN 420023

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lnicks1154222@direct.bsmhealth.org

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.

• Bon Secours Medical Group Greenville Specialty Care LLC

  dba Bon Secours Piedmont Orthopaedics-Fountain Inn

  • Orthopaedic Surgery Physician
  • Fountain Inn, SC
  • NPI 1760361174
  NPD
• Bon Secours Medical Group Greenville Specialty Care LLC

  • Cardiovascular Disease Physician
  • Greenville, SC
  • NPI 1821679580
  NPD
• St Francis Physician Services Inc

  dba Foothills ENT

  • Otolaryngology Physician
  • Greenville, SC
  • NPI 1568767606
  NPD
• St Francis Physician Services Inc

  dba Bon Secours Covenant Primary Care

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1871895771
  NPD
• St Francis Physician Services Inc

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295769438
  NPD (past)

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

• St Francis Hospital Inc

  dba St. Francis Millennium

  • Clinic/Center
  • Greenville, SC
  • NPI 1104052752

  Hospital

  Care Compare affiliation
• St Francis Hospital Inc

  dba St. Francis-Downtown

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1730123175
  Care Compare affiliation
• St Francis Hospital, Inc.

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1467496802
  Care Compare affiliation
• St Francis Hospital, Inc.

  dba Bon Secours Laboratory Services - Greenville

  • Clinical Medical Laboratory
  • Greenville, SC
  • NPI 1972127017

  Hospital

  Care Compare affiliation
• St. Francis Hospital Inc

  dba St. Francis Cancer Center

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1023418035
  Care Compare affiliation
• St. Francis Hospital, Inc.

  dba Bon Secours St. Francis Surgery Center

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1376899856
  Care Compare affiliation

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

{
    "created_epoch": "1313798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1558641670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743294",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743294",
            "telephone_number": "864-603-6300",
            "fax_number": "864-603-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 INNOVATION DR",
            "address_2": "SUITE 2000",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075253",
            "telephone_number": "864-603-6300",
            "fax_number": "864-603-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKS",
        "first_name": "LILLIAN",
        "middle_name": "MISHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-20",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "17527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2272",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel A Nickles, DMD
• Danielle Nickles
• Elizabeth Lawton Nickles
• John Kenneth Nickles, DMD
• Hannah Shull Nicks, MD
• Nicole Wardell, LLC
• Elyse Nicolette, OTR
• Ashley Dunn Nida
• Laura Grace Niederbrach, OD
• Anne Devereux Niehaus, MD

• Family Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.