Nicole Davis, MS, RDN, LDN - Medicare Dietitian in Carterville, IL

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Nicole Davis, MS, RDN, LDN is a medicare enrolled "Dietitian, Registered" provider in Carterville, Illinois. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Shawnee Health Service And Development Corp and her current practice location is 1006 S Division St, Carterville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 519-9200.

Nicole Davis is licensed to practice in Illinois (license number 164.006153) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871975938.

Contact Information

Nicole Davis, MS, RDN, LDN
1006 S Division St,
Carterville, IL 62918-1539
(618) 519-9200
(618) 985-3774

Map and Direction




Healthcare Provider's Profile

Full NameNicole Davis
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience13 Years
Location1006 S Division St, Carterville, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Davis graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1871975938
  • Provider Enumeration Date: 06/25/2015
  • Last Update Date: 09/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688980808
  • Enrollment ID: I20150903000256

Medical Identifiers

Medical identifiers for Nicole Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871975938NPI-NPPES
1065198OtherCOMMISSION ON DIETETIC REGISTRATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 164.006153 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shawnee Health Service And Development Corp165828567150

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. Nicole Davis allows following entities to bill medicare on her behalf.
Provider NameShawnee Health Service And Development Corp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1639295314
PECOS PAC ID: 1658285671
Enrollment ID: O20031120000454

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. Nicole Davis 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
Nicole Davis, MS, RDN, LDN
109 California St, Po Box 577,
Carterville, IL 62918

Ph: (618) 519-9200		Nicole Davis, MS, RDN, LDN
1006 S Division St,
Carterville, IL 62918-1539

Ph: (618) 519-9200

Reviews and Comments


Dietitian, Registered in Carterville, IL

Lacie Diane Hawkins, RD-LDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1006 S Division St, Carterville, IL 62918
Phone: 618-985-4841    Fax: 618-985-8101
Gail L Peterman, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1006 S Division St, Carterville, IL 62918
Phone: 618-519-9200    Fax: 618-985-3774
Mrs. Natalie J Adams, RD, DIETITIAN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 304 Excalibur, Carterville, IL 62918
Phone: 618-889-9440    
Jeremy E Davis, PHD, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 113 Timber Trl, Carterville, IL 62918
Phone: 765-490-8897    

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.