Individual provider Active NPI

Nicole Renee Hammond, MD

  • Surgery Physician
  • Mattoon, IL
National Provider Identifier
1598256265
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036-171659 Issued in IL
Practice address
1000 Health Center Dr Ste 401
Mattoon, IL 61938-4648
Phone
(217) 258-4020
Fax
(217) 258-4023
NPI assigned
May 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT215445 PA
Surgery Physician 208600000X 036-171659 IL Primary

Addresses

Primary practice location

1000 Health Center Dr Ste 401
Mattoon, IL 61938-4648

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Other practice location 1

1001 S George St
York, PA 17403-3676
Phone (717) 851-2427

Other practice location 2

1104 W Evergreen Ave
Effingham, IL 62401-1710
Phone (217) 347-2500

Other practice location 3

1000 Health Center Dr Ste 204
Mattoon, IL 61938-4644
Phone (217) 258-4155

Other practice location 4

1007 Health Center Dr
Mattoon, IL 61938-4693
Phone (217) 258-7400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241004001377 IL Practitioner - General Surgery 1850643222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Pennsylvania State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1007 Health Ctr Dr
Mattoon, IL 61938-4693
Phone (217) 258-7400

Hospital & facility affiliations

  • Sarah Bush Lincoln Home Care Home health agency, Charleston, IL, CCN 147594
  • Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy16
Hernia repair - groin (open)1-10
Mastectomy12
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-171659ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Sep 10, 2024 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Sep 10, 2024 Accepting new patients
Sarah Bush Lincoln Health Center PastSince Sep 1, 2024 Accepting new patients

Locations

1104 W Evergreen Ave
Effingham, IL 62401
Phone (217) 342-7090

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1000 Health Center Dr
Ste 204
Mattoon, IL 61938
Phone (217) 258-4155

1000 Health Center Dr
Ste 401
Mattoon, IL 61938
Phone (217) 258-2409

1007 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-7400

1000 Health Center Dr
Ste 101
Mattoon, IL 61938
Phone (217) 258-4020

Organizations & group practices 3

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.

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": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1598256265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER DR STE 401",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384648",
            "telephone_number": "217-258-4020",
            "fax_number": "217-258-4023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104 W Evergreen Ave",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624011710",
            "country_code": "US",
            "telephone_number": "217-347-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Health Center Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-258-4155",
            "fax_number": "217-258-4138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384693",
            "country_code": "US",
            "telephone_number": "217-258-7400",
            "fax_number": "217-258-7401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT215445",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036-171659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.