Jennifer Ruth Nichelson, FNP is a 
Nurse Practitioner - Family physician based in Springfield, Illinois. Jennifer Ruth Nichelson is licensed to practice in Illinois (license number 209007151) and her current practice location is 619 E Mason St, Suite 4p57, Springfield, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(217) 788-0706.
NPI number for Jennifer Ruth Nichelson is 1366608150 and her current mailing address is 619 E Mason St, Suite 4p57, Springfield, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366608150.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Jennifer Ruth Nichelson | 
|---|
| Gender | Female | 
|---|
| Speciality | Nurse Practitioner - Family | 
|---|
| Location | 619 E Mason St, Springfield, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1366608150
 - Provider Enumeration Date: 08/01/2008
 - Last Update Date: 05/20/2019
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Jennifer Ruth Nichelson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1366608150 | NPI | - | NPPES | 
| P01775273 | Other | IL | RAILROAD | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 207RI0011X | Internal Medicine - Interventional Cardiology  | 209.007151 (Illinois) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family  | 209007151 (Illinois) | Primary | 
		
		
			
			
			
			
		
		
		 
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. Jennifer Ruth Nichelson is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Jennifer Ruth Nichelson, FNP 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 Ph: (217) 788-0706 | Jennifer Ruth Nichelson, FNP 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 Ph: (217) 788-0706 | 
		
		 
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