Nicole Thomas, FNP - Medicare Nurse Practitioner in Normal, IL

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Nicole Thomas, FNP is a medicare enrolled "Nurse Practitioner - Family" in Normal, Illinois. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saint James Hospital, Carle West Physician Group Inc and her current practice location is 1437 E College Ave, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 862-5700.

Nicole Thomas is licensed to practice in Illinois (license number 209012492) 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 1770974800.

Contact Information

Nicole Thomas, FNP
1437 E College Ave,
Normal, IL 61761-2085
(309) 862-5700
(309) 862-5705

Map and Direction




Provider's Profile

Full NameNicole Thomas
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1437 E College Ave, Normal, 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 Thomas graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1770974800
  • Provider Enumeration Date: 02/11/2015
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335467513
  • Enrollment ID: I20150420001386

Medical Identifiers

Medical identifiers for Nicole Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770974800NPI-NPPES
2014026661OtherILANCC CERTIFICATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209012492 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Medical CenterBloomington, ILHospital
Saint James HospitalPontiac, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint James Hospital064818725258
Carle West Physician Group Inc8921420308275

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 Thomas allows following entities to bill medicare on her behalf.
Entity NameSaint James Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790735421
PECOS PAC ID: 0648187252
Enrollment ID: O20040804001073
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147
Entity NameCarle Bromenn Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104442615
PECOS PAC ID: 8921429499
Enrollment ID: O20200716000187

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 Thomas 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 Thomas, FNP
1437 E College Ave,
Normal, IL 61761-2085

Ph: (309) 862-5700		Nicole Thomas, FNP
1437 E College Ave,
Normal, IL 61761-2085

Ph: (309) 862-5700

Reviews and Comments


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Nicole M Lord, APRN, CNP
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Elizabeth Anne Madlem, APRN, CNP
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Ms. Alicia Layton,
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Phone: 309-268-5130    Fax: 309-268-5784
Jessica Johann,
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Ami Meyer,
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Practice Location: 1304 Franklin Ave, Normal, IL 61761
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Jennifer Lynn Lanz, APRN, CNP
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Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761
Phone: 309-556-8300    Fax: 309-556-8293

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.