Nichole Brockmeyer, is a medicare enrolled "Nurse Practitioner" in Sherman, Illinois. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cepamerica Illinois Llp, Hshs Medical Group Inc and her current practice location is
2806 E Andrew Rd, Sherman, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 483-1900.
Nichole Brockmeyer is licensed to practice in Illinois (license number 209016140) 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 1922533157.
Provider's Profile
| Full Name | Nichole Brockmeyer |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 2806 E Andrew Rd, Sherman, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nichole Brockmeyer graduated from nursing school in 2017
NPI Data:
- NPI Number: 1922533157
- Provider Enumeration Date: 04/25/2017
- Last Update Date: 12/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658642962
- Enrollment ID: I20170804001699
Medical Identifiers
Medical identifiers for Nichole Brockmeyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922533157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209016140 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cepamerica Illinois Llp | 3274793633 | 417 |
| Hshs Medical Group Inc | 5092857821 | 225 |
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 Brockmeyer allows following entities to bill medicare on her behalf.
| Entity Name | Hshs Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962644807
PECOS PAC ID: 5092857821
Enrollment ID: O20100116000275 |
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| Entity Name | Cepamerica Illinois Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587 |
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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 Brockmeyer 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 |
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Nichole Brockmeyer,
2801 Mathers Rd,
Springfield, IL 62711-7064
Ph: (217) 789-3600 | Nichole Brockmeyer,
2806 E Andrew Rd,
Sherman, IL 62684-9517
Ph: (217) 483-1900 |
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