Nicole M Simpson, N.P.
Individual provider Active NPI Family Nurse Practitioner · South Beloit, IL
NPI 1962391482 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1962391482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 16836-33 (WI)
- Practice address
- South Beloit Clinic
1701 Blackhawk Blvd
South Beloit, IL 61080 - Phone
- (815) 389-2268
- Fax
- (815) 525-4350
- NPI assigned
- Jun 30, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beloit Health System Inc
Practice addresses (Care Compare)
1701 Blackhawk Blvd
South Beloit, IL 61080-2407
Phone (815) 389-2268
1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 364-2200
Hospital & facility affiliations
- Beloit Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250929002108 | WI | Practitioner - Nurse Practitioner | 4183120207 | Reassigns benefits to 1 organization |
| I20260318000210 | IL | Practitioner - Nurse Practitioner | 4183120207 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16836-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Health System Inc | Current | Accepting new patients | |
| Beloit Health System, Inc | Current |
Accepting new patients | |
| Beloit Clinic, S.C. | Current | Accepting new patients | |
| Beloit Health System, Inc | Current |
Accepting new patients | |
| Beloit Health System Inc | Current |
Accepting new patients |
Locations
5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000
1701 Blackhawk Blvd
South Beloit, IL 61080
Phone (815) 389-2268
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f4477d7c-dbb4-4046-92c9-1cc56c248ecb/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16836-33 | WI | Yes |
Addresses
Primary practice location
South Beloit Clinic
1701 Blackhawk Blvd
South Beloit, IL 61080
Mailing address
South Beloit Clinic
1701 Blackhawk Blvd
South Beloit, IL 61080
Phone (815) 389-2268
Other providers in South Beloit, IL
- Kara Phillips
- Prairie Hill CCSD 133
- Joseph C Probst
- Reich Chiropractic Clinic PC
- Teresa Ann Sambrook
- Catherine Jean Smith
- Michelle Kay Smith
- South Beloit Office
- Stateline Chiropractic & Sports Injury Clinic SC
- Nic Stewart
All providers in South Beloit, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.