Mrs Deborah L Nielsen, RN APN in Pontiac, IL - Medicare Nurse Practitioner

Mrs Deborah L Nielsen, RN APN is a medicare enrolled "Nurse Practitioner - Acute Care" in Pontiac, Illinois. Her current practice location is 2500 W Reynolds St, Pontiac, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 844-5343.

Mrs Deborah L Nielsen is licensed to practice in Illinois (license number 209.007237) 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 1124276811.

Contact Information

	Mrs Deborah L Nielsen, RN APN
	2500 W Reynolds St, Pontiac, IL 61764-9774
	(815) 844-5343
	(815) 844-5715

Map and Direction

Provider's Profile

Full Name	Mrs Deborah L Nielsen
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2500 W Reynolds St, Pontiac, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124276811
Provider Enumeration Date: 09/05/2008
Last Update Date: 06/25/2021

Medicare PECOS Information:

PECOS PAC ID: 9931266020
Enrollment ID: I20090317000107

Medical Identifiers

Medical identifiers for Mrs Deborah L Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124276811	NPI	-	NPPES
209.007237	Other	IL	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	209.007237 (Illinois)	Primary

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. Mrs Deborah L Nielsen allows following entities to bill medicare on her behalf.

Entity Name	Pro Health One Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053714584 PECOS PAC ID: 2466778089 Enrollment ID: O20201118002076

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. Mrs Deborah L Nielsen 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 Address	Practice Location Address
Mrs Deborah L Nielsen, RN APN Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541	Mrs Deborah L Nielsen, RN APN 2500 W Reynolds St, Pontiac, IL 61764-9774 Ph: (815) 844-5343

Reviews and Comments

Nurse Practitioner Nurses in Pontiac, IL

Cheryle Diana Strother, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 N Plum St, Pontiac, IL 61764 Phone: 815-844-4631 Fax: 815-844-1942
Nancy White, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-5115 Fax: 815-842-2152
Briana Flori, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 W Custer Ave, Pontiac, IL 61764 Phone: 815-942-5790
Mary Krall, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3633 Fax: 815-844-6309
Kelsey Walker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1506 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-6123
Andrew John Farraher, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 W Reynolds St, 208, Pontiac, IL 61764 Phone: 815-844-2001

Mrs Deborah L Nielsen, RN APN - Medicare Nurse Practitioner in Pontiac, IL