| Nicole Suzette Soper, APN FNP-BC | |
|
302 W Hay St, Decatur, IL 62526-4167 | |
| (217) 545-8000 | |
| Not Available |
| Full Name | Nicole Suzette Soper |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 302 W Hay St, Decatur, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073969044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209014230 (Illinois) | Primary |
| 163W00000X | Registered Nurse | 041330758 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| St Marys Hospital | Decatur, IL | Hospital |
| Pana Community Hospital | Pana, IL | Hospital |
| Taylorville Memorial Hospital | Taylorville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Siu Physicians And Surgeons Inc | 2365352820 | 275 |
| Entity Name | Siu Physicians & Surgeons Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558385989 PECOS PAC ID: 2365352820 Enrollment ID: O20031222000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Suzette Soper, APN FNP-BC 201 E Madison St, Springfield, IL 62702-5131 Ph: (217) 545-3787 | Nicole Suzette Soper, APN FNP-BC 302 W Hay St, Decatur, IL 62526-4167 Ph: (217) 545-8000 |
Mr. Jason Grauer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 | |
Christine M Meeker, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2126 | |
Nicole Marie Lord, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, #309, Decatur, IL 62521 Phone: 217-422-9740 | |
Matya Leann Riley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Mr. Aaron Todd Bell, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 | |
Kimberly A Kish, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2880 N Monroe St, Decatur, IL 62526 Phone: 217-330-8939 Fax: 217-330-9063 | |
Kristina Kay Bradford, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 |