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 |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 619 E Mason St, Springfield, Illinois |
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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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