Michelle Dianne Niehaus

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

277004354 Issued in IL

Practice address

1025 Maine St
Quincy, IL 62301-4096

Phone

(217) 222-6550

Fax

(217) 277-2253

NPI assigned

Apr 2, 2019

Last updated

Jul 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, IL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quincy Physicians and Surgeons Clinic, PLLCGroup PAC ID 0749192375, shared by 18 NPIs, 231 clinicians

Chestnut Health of Illinois LLCGroup PAC ID 2264747344, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chestnut Health of Illinois LLC

  • Internal Medicine Physician
  • Elgin, IL
  • NPI 1588043939
  Medicare reassignment Care Compare group NPD
• McDonough County Hospital District

  dba McDonough Eye Care

  • Internal Medicine Physician
  • Macomb, IL
  • NPI 1609180082
  Medicare reassignment NPD
• McDonough County Hospital District

  dba Bushnell Family Practice

  • Rural Health Clinic/Center
  • Bushnell, IL
  • NPI 1992041511

  Family Medicine

  Medicare reassignment NPD
• Quincy Physicians & Surgeons Clinic, PLLC

  • Clinic/Center
  • Quincy, IL
  • NPI 1548234198

  IA

  Medicare reassignment NPD
• McDonough County Hospital District

  dba MDH Community Pharmacy

  • Community/Retail Pharmacy
  • Macomb, IL
  • NPI 1245098458
  NPD
• Quincy Physicians & Surgeons Clinic, PLLC

  dba Quincy Medical Group Barry Affiliate

  • Rural Health Clinic/Center
  • Barry, IL
  • NPI 1013981547
  NPD
• Quincy Physicians & Surgeons Clinic, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Pittsfield, IL
  • NPI 1871794925

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1629530399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY CIR",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014096",
            "telephone_number": "217-222-6550",
            "fax_number": "217-277-2253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N Cole St",
            "address_purpose": "LOCATION",
            "city": "Bushnell",
            "state": "IL",
            "postal_code": "614229503",
            "country_code": "US",
            "telephone_number": "309-772-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 E Grant St Ste 213",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "IL",
            "postal_code": "614553378",
            "country_code": "US",
            "telephone_number": "309-837-6937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 Pittsfield Rd",
            "address_purpose": "LOCATION",
            "city": "Mt Sterling IL",
            "state": "IL",
            "postal_code": "62353",
            "country_code": "US",
            "telephone_number": "217-773-3963",
            "fax_number": "217-773-3426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 S Gear Ave Ste 153",
            "address_purpose": "LOCATION",
            "city": "W Burlington",
            "state": "IA",
            "postal_code": "526551686",
            "country_code": "US",
            "telephone_number": "319-754-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEHAUS",
        "first_name": "MICHELLE",
        "middle_name": "DIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209.019108",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277004354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa M Newton, DO
• Linh Thuy Nguyen, M.D.
• Alan R Nichols, MD
• Lacy Jo Nichols
• Nicole G. Paxton, DC, SC
• Adam Christopher Niemann, MD
• Andrea S. Niemann, OT
• Abigail Jemima Nieters, NP
• Anitha Nimmagadda, MD
• Richard K Noble, MD

• Nurse Practitioner in Quincy, IL
• Providers in Quincy, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.