Nichole Boudet, NP in Carbondale, IL - Medicare Nurse Practitioner

Nichole Boudet, NP is a medicare enrolled "Nurse Practitioner" in Carbondale, Illinois. She graduated from nursing school in 2019 and has 5 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 2601 W Main St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 549-5361.

Nichole Boudet is licensed to practice in Illinois (license number 209020268) 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 1942834742.

Contact Information

	Nichole Boudet, NP
	2601 W Main St, Carbondale, IL 62901-1031
	(618) 549-5361
	Not Available

Map and Direction

Provider's Profile

Full Name	Nichole Boudet
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2601 W Main 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:

Nichole Boudet graduated from nursing school in 2019

NPI Data:

NPI Number: 1942834742
Provider Enumeration Date: 03/02/2020
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 1355779745
Enrollment ID: I20200318001231

Medical Identifiers

Medical identifiers for Nichole Boudet such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942834742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209020268 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Memorial Hospital	Murphysboro, 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. Nichole Boudet 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

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. Nichole Boudet 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
Nichole Boudet, NP Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Nichole Boudet, NP 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361

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

Nichole Boudet, NP - Medicare Nurse Practitioner in Carbondale, IL