Nicole Decoudres, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085004485 Issued in IL

Practice address

675 W North Ave Ste 104
Melrose Park, IL 60160-1622

Phone

(706) 681-7695

NPI assigned

Oct 26, 2012

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 names 1

• Nicole Sandra Geier Former name

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edm Consultant Services LTDGroup PAC ID 5496845448, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Edm Consultant Services LTD

  • Family Medicine Physician
  • Melrose Park, IL
  • NPI 1497792840
  Medicare reassignment Care Compare group
• Parise Preferred Podiatry Corp

  • Foot Surgery Podiatrist
  • Melrose Park, IL
  • NPI 1366003451
  NPD

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

• Gottlieb Memorial Hospital

  • General Acute Care Hospital
  • Melrose Park, IL
  • NPI 1831170232
  Care Compare affiliation

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1861745952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 104",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601622",
            "telephone_number": "708-681-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W NORTH AVE STE 104",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601622",
            "telephone_number": "706-681-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOUDRES",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GEIER",
            "middle_name": "SANDRA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beth Davis Phillpotts, MD
• Alicia Davis
• Dawn R Hackel DPM PC
• Liliana De Leon
• Robert Deangeles, DDS
• Daisy Del Toro
• Claribel Delatorre
• Constantine Geor Delis, DO
• Stanley David Demorest, MD
• Aylin Deniz, BSW

• Physician Assistant in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.