Nicole Marie Lewis, DNP, FNP-BC - Medicare Nurse Practitioner in Mount Vernon, IL

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Nicole Marie Lewis, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mount Vernon, Illinois. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physician Services Corporation Of Southern Illinois Inc, Select Physical Therapy Holdings Inc and her current practice location is 602 S 42nd St, Mount Vernon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 899-3278.

Nicole Marie Lewis is licensed to practice in Illinois (license number 209016310) 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 1982123899.

Contact Information

Nicole Marie Lewis, DNP, FNP-BC
602 S 42nd St,
Mount Vernon, IL 62864-6264
(618) 899-3278
Not Available

Map and Direction




Provider's Profile

Full NameNicole Marie Lewis
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location602 S 42nd St, Mount Vernon, Illinois
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 Marie Lewis graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1982123899
  • Provider Enumeration Date: 09/12/2017
  • Last Update Date: 10/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9830455906
  • Enrollment ID: I20171106001078

Medical Identifiers

Medical identifiers for Nicole Marie Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982123899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209016310 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209016310 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional Home Care - CrossroadsMount vernon, ILHome health agency
Ssm Health At Home Health-illinoisMount vernon, ILHome health agency
Lhc-illinois Home Health CareMarion, ILHome health agency
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital
Crossroads Community HospitalMount vernon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Services Corporation Of Southern Illinois Inc9234022567100
Select Physical Therapy Holdings Inc95370764011557

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 Marie Lewis allows following entities to bill medicare on her behalf.
Entity NamePhysician Services Corporation Of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583
Entity NameGranite City Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669926424
PECOS PAC ID: 8527356591
Enrollment ID: O20161006000282
Entity NameGranite City Emergency Medicine Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861946626
PECOS PAC ID: 7012205784
Enrollment ID: O20161012001300
Entity NameStatera Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043874449
PECOS PAC ID: 0244565729
Enrollment ID: O20190708000284
Entity NameTrinity Medical Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770103426
PECOS PAC ID: 1759712698
Enrollment ID: O20200511000598

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 Marie Lewis 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 Marie Lewis, DNP, FNP-BC
Po Box 955860,
Saint Louis, MO 63195-1236

Ph: (636) 498-5944		Nicole Marie Lewis, DNP, FNP-BC
602 S 42nd St,
Mount Vernon, IL 62864-6264

Ph: (618) 899-3278

Reviews and Comments


Nurse Practitioner Nurses in Mount Vernon, IL

Amanda Engele, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5100 Lake Ter Ne Ste Wc, Mount Vernon, IL 62864
Phone: 618-899-5001    
Leslie Wright, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4101 N Water Tower Pl, Mount Vernon, IL 62864
Phone: 618-244-6222    
Fariahh Fazil, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864
Phone: 618-899-3980    
Nancy K Kertz, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4117 S Water Tower Pl, Suite D, Mount Vernon, IL 62864
Phone: 618-242-4848    Fax: 618-242-4198
Natalie Amason, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4107 S Water Tower Pl, Mount Vernon, IL 62864
Phone: 618-244-0031    Fax: 618-244-0056
Melanie Cross, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864
Phone: 618-242-3778    Fax: 618-242-2551
Abbey Gettinger,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4200 Williamson Pl Ste 1a, Mount Vernon, IL 62864
Phone: 618-899-9200    Fax: 618-899-9206

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.