Mrs Nichole Lynn Justice, FNP-C in Carbondale, IL

Mrs Nichole Lynn Justice, FNP-C is a medicare enrolled "Nurse Practitioner" in Carbondale, Illinois. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Illinois Medical Services Nfp and her current practice location is 405 W Jackson St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 549-0721.

Mrs Nichole Lynn Justice is licensed to practice in Illinois (license number 209023758) 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 1376211151.

Contact Information

	Mrs Nichole Lynn Justice, FNP-C
	405 W Jackson St, Carbondale, IL 62901-1462
	(618) 549-0721
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Nichole Lynn Justice
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	405 W Jackson St, Carbondale, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Nichole Lynn Justice graduated from nursing school in 2021

NPI Data:

NPI Number: 1376211151
Provider Enumeration Date: 09/05/2021
Last Update Date: 01/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7911384912
Enrollment ID: I20220512001804

Medical Identifiers

Medical identifiers for Mrs Nichole Lynn Justice such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376211151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.023758 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209023758 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital
Memorial Hospital Of Carbondale	Carbondale, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Illinois Medical Services Nfp	3678677390	252

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 Nichole Lynn Justice allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

Entity Name	Advanced Surgical Technology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497159024 PECOS PAC ID: 3274857685 Enrollment ID: O20150113000768

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 Nichole Lynn Justice 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 Nichole Lynn Justice, FNP-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Mrs Nichole Lynn Justice, FNP-C 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721

Reviews and Comments

Nurse Practitioner Nurses in Carbondale, IL

Miss Whitney Mcguire, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522
Ashley Nicole Mitchell, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Natasha Charlyn Shafer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901 Phone: 618-529-7821
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Lindsay B Casolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Andrea Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Monica L Nagele, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Cedar Ct, Carbondale, IL 62901 Phone: 618-490-1045

Mrs Nichole Lynn Justice, FNP-C - Medicare Nurse Practitioner in Carbondale, IL