| Nicky R Turner, FNP | |
| 
					1012 Belmont Ave, La Junta, CO 81050-2101  | |
| (719) 383-5500 | |
| Not Available | 
| Full Name | Nicky R Turner | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner | 
| Location | 1012 Belmont Ave, La Junta, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770770133 | NPI | - | NPPES | 
| 370966854023 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209006768 (Illinois) | Secondary | 
| 363L00000X | Nurse Practitioner | APN.0995881-NP (Colorado) | Primary | 
| Entity Name | Deaconess Illinois Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962128256 PECOS PAC ID: 5092187021 Enrollment ID: O20230220002667  | 
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicky R Turner, FNP 200 Susann Dr, West Frankfort, IL 62896-1937 Ph: (618) 967-3166  | Nicky R Turner, FNP 1012 Belmont Ave, La Junta, CO 81050-2101 Ph: (719) 383-5500  | 
Ms. Veronica Ethel Bartlett, FNP, MS-RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2215 San Juan Ave, La Junta, CO 81050 Phone: 719-383-0445 Fax: 719-383-0448  | |
Jessica Ojeda, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Carson Ave Suite 201, La Junta, CO 81050 Phone: 719-383-5906 Fax: 719-383-5928  | |
Jill Hollar,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1012 Belmont Ave, La Junta, CO 81050 Phone: 719-383-5900 Fax: 719-383-6533  | |
Ron Peterson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Carson Ave, Suite 201, La Junta, CO 81050 Phone: 719-383-5900 Fax: 719-383-6533  | |
Cheyenne Shipman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1206 E 3rd St, La Junta, CO 81050 Phone: 719-413-5261  | |
Missouri Krantz, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2215 San Juan Ave, La Junta, CO 81050 Phone: 719-363-1533 Fax: 719-363-1534  | |
Kristopher Michael Love, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Carson Ave, La Junta, CO 81050 Phone: 719-384-5412  |