Individual provider Active NPI

Nicholas D Ramey, APRN

  • Family Nurse Practitioner
  • Decatur, IL
National Provider Identifier
1679964514
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012543 Issued in IL
Practice address
4455 E US Route 36
Decatur, IL 62521-5003
Phone
(217) 876-5320
Fax
(217) 876-5865
NPI assigned
Feb 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012543 IL Primary

Addresses

Primary practice location

4455 E US Route 36
Decatur, IL 62521-5003

Mailing address

4455 E US Route 36
Decatur, IL 62521-5003
Phone (217) 876-5320

Other identifiers 1

IdentifierTypeStateIssuer
041.334545OtherILRN LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150407002314 IL Practitioner - Nurse Practitioner 6709104532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Physician ServicesGroup PAC ID 9032005681, 161 clinicians

Practice addresses (Care Compare)

3131 N Water St
Decatur, IL 62526-2472
Phone (217) 876-5320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as apm
Quality
75.65
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
71.79
Promoting interoperability
77
Improvement activities
40
Cost
75.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Physician Services Current Accepting new patients
Promise Healthcare NFP Current Accepting new patients
Family Medical Center of Chatham, LLC Nurse Practitioner Current Accepting new patients
Promise Healthcare NFP CurrentSince Nov 3, 2015 Accepting new patients
Memorial Physician Services Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
Promise Healthcare NFP CurrentSince Nov 3, 2015 Accepting new patients
Memorial Physician Services CurrentSince Apr 1, 2024 Accepting new patients

Locations

819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

4455 E US Route 36
Decatur, IL 62521
Phone (217) 876-5320

3131 N Water St
Decatur, IL 62526
Phone (217) 876-5320

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1679964514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 E US ROUTE 36",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215003",
            "telephone_number": "217-876-5320",
            "fax_number": "217-876-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 E US ROUTE 36",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625215003",
            "telephone_number": "217-876-5320",
            "fax_number": "217-876-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMEY",
        "first_name": "NICHOLAS",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-13",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "041.334545",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.