Lacy Jo Nichols, - Medicare Nurse Practitioner in Quincy, IL

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Lacy Jo Nichols, is a medicare enrolled "Nurse Practitioner - Neonatal" in Quincy, Illinois. Her current practice location is 1005 Broadway St, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 223-8400.

Lacy Jo Nichols is licensed to practice in Illinois (license number 209028825) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083361430.

Contact Information

Lacy Jo Nichols,
1005 Broadway St,
Quincy, IL 62301-2834
(217) 223-8400
Not Available

Map and Direction




Provider's Profile

Full NameLacy Jo Nichols
GenderFemale
SpecialityNurse Practitioner - Neonatal
Location1005 Broadway St, Quincy, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083361430
  • Provider Enumeration Date: 03/06/2022
  • Last Update Date: 11/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153773742
  • Enrollment ID: I20240119000073

Medical Identifiers

Medical identifiers for Lacy Jo Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083361430NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal 209028825 (Illinois)Primary
163W00000XRegistered Nurse 041369541 (Illinois)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lacy Jo Nichols allows following entities to bill medicare on her behalf.
Entity NameBlessing Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1114471737
PECOS PAC ID: 3072422534
Enrollment ID: O20161005001836

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lacy Jo Nichols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lacy Jo Nichols,
1005 Broadway St,
Quincy, IL 62301-2834

Ph: () -		Lacy Jo Nichols,
1005 Broadway St,
Quincy, IL 62301-2834

Ph: (217) 223-8400

Reviews and Comments


Nurse Practitioner Nurses in Quincy, IL

Glenda Brown, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1005 Broadway St, Quincy, IL 62301
Phone: 217-223-8400    
Mrs. Reghnald Ann Westhoff, MSN, RN APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 915 Vermont St, Quincy, IL 62301
Phone: 217-222-8254    Fax: 217-222-4512
Rick Knochel,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1005 Broadway St, Quincy, IL 62301
Phone: 217-223-1200    
Rebecca Reed,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 4800 Maine St, Quincy, IL 62305
Phone: 217-224-6423    Fax: 217-214-5848
Nicole Suzanne Murphy, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 326 N 24th St, Quincy, IL 62301
Phone: 217-214-6300    
Erin Bowers, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1005 Broadway St, Quincy, IL 62301
Phone: 217-223-8400    Fax: 217-223-6894
Brenda Colleen Blickhan, AGNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 927 Broadway St Ste 106, Quincy, IL 62301
Phone: 217-223-8400    Fax: 217-277-3974

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.