Nicole L Stevenson, MSN-NPC - Medicare Nurse Practitioner in Petersburg, IN

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Nicole L Stevenson, MSN-NPC is a medicare enrolled "Nurse Practitioner - Family" in Petersburg, Indiana. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Deaconess Clinic Inc, Little Company Of Mary Hospital Of Indiana Inc and her current practice location is 1003 E Illinois St, Petersburg, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 354-3485.

Nicole L Stevenson is licensed to practice in Indiana (license number 71003367A) 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 1063727204.

Contact Information

Nicole L Stevenson, MSN-NPC
1003 E Illinois St,
Petersburg, IN 47567-8068
(812) 354-3485
(812) 354-3459

Map and Direction




Provider's Profile

Full NameNicole L Stevenson
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location1003 E Illinois St, Petersburg, Indiana
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 L Stevenson graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1063727204
  • Provider Enumeration Date: 08/12/2010
  • Last Update Date: 06/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6901090372
  • Enrollment ID: I20101029000368

Medical Identifiers

Medical identifiers for Nicole L Stevenson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063727204NPI-NPPES
28164932AOtherININDIANA STATE LICENSE
200996500MedicaidIN
7100275180MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 71003367A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71003367A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital And Health Care CenterJasper, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Deaconess Clinic Inc3375610116343
Little Company Of Mary Hospital Of Indiana Inc4587578042154

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 L Stevenson allows following entities to bill medicare on her behalf.
Entity NameLittle Company Of Mary Hospital Of Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114120128
PECOS PAC ID: 4587578042
Enrollment ID: O20031118000733
Entity NameDeaconess Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619123585
PECOS PAC ID: 3375610116
Enrollment ID: O20080922000145

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 L Stevenson 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 L Stevenson, MSN-NPC
Po Box 1028,
Jasper, IN 47547-1028

Ph: (812) 996-5255		Nicole L Stevenson, MSN-NPC
1003 E Illinois St,
Petersburg, IN 47567-8068

Ph: (812) 354-3485

Reviews and Comments


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Toni M Martin, N.P.
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Phone: 812-354-8426    Fax: 812-354-9134
Alexandria Jo Carie-kroeger, NP
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Jessica N Collins, FNP
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Practice Location: 1003 E Illinois St, Petersburg, IN 47567
Phone: 812-354-3458    Fax: 812-354-3459

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.