Active NPI
Nichole Robin Francis, ARNP-C
- Family Nurse Practitioner
- Fort Madison, IA
National Provider Identifier
1609121763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A108993
- Practice address
- 5409 Avenue O
Fort Madison, IA 52627-9601 - Phone
- (319) 376-2134
- Fax
- (319) 376-2188
- NPI assigned
- Jul 16, 2012
- Last updated
- Dec 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A108993 | IA | Primary |
Addresses
Primary practice location
5409 Avenue O
Fort Madison, IA 52627-9601
Mailing address
5409 Avenue O
Fort Madison, IA 52627-9601
Phone (319) 376-2134
Other names 1
- Nichole Dearborn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355961600000",
"number": "1609121763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5409 AVENUE O",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279601",
"telephone_number": "319-376-2134",
"fax_number": "319-376-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5409 AVENUE O",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279601",
"telephone_number": "319-376-2134",
"fax_number": "319-376-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCIS",
"first_name": "NICHOLE",
"middle_name": "ROBIN",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-16",
"last_updated": "2012-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A108993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICHOLE",
"last_name": "DEARBORN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Madison, IA
- Fort Madison C.S.D.
- Fort Madison Health Center Operations LLC (The Madison)
- Fort Madison Health Center, Inc. (The Madison)
- Fort Madison Health Center, Inc.
- Fort Madison Lenscrafters (Fort Madison Eye Clinic)
- Sara M Garcia, PHARM. D.
- Amanda Christine Garr, ARNP
- Kyle Gibson
- Amy Gnann, FNP
- Richard Mark Goddard, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.