Nicole Marie Lord, FNP-BC | |
1770 E Lake Shore Dr, #309, Decatur, IL 62521-3832 | |
(217) 422-9740 | |
Not Available |
Full Name | Nicole Marie Lord |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1770 E Lake Shore Dr, Decatur, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013319623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209011928 (Illinois) | Primary |
363LF0000X | Nurse Practitioner - Family | 309007641 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Bromenn Medical Center | Normal, IL | Hospital |
St Joseph Medical Center | Bloomington, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Empowerme Medical Group Pc | 7214392059 | 15 |
Empowerme Np, Llc | 8527452358 | 9 |
Entity Name | Decatur Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
Entity Name | Empowerme Np, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639836406 PECOS PAC ID: 8527452358 Enrollment ID: O20220329002234 |
Entity Name | Empowerme Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073217204 PECOS PAC ID: 7214392059 Enrollment ID: O20230505001503 |
Mailing Address | Practice Location Address |
---|---|
Nicole Marie Lord, FNP-BC 1770 E Lake Shore Dr, #309, Decatur, IL 62521-3832 Ph: (217) 422-9740 | Nicole Marie Lord, FNP-BC 1770 E Lake Shore Dr, #309, Decatur, IL 62521-3832 Ph: (217) 422-9740 |
Mr. Jason Grauer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 | |
Angelique Bautista Gabat, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 | |
Christine M Meeker, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2126 | |
Matya Leann Riley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Mr. Aaron Todd Bell, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St Ste 2400, Decatur, IL 62526 Phone: 217-876-2400 Fax: 217-876-2405 | |
Kimberly A Kish, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2880 N Monroe St, Decatur, IL 62526 Phone: 217-330-8939 Fax: 217-330-9063 |