NICOLE L STEVENSON MSN-NPC
NPI 1063727204
Nurse Practitioner - Family in Petersburg, IN

Active since August 12, 2010PECOS EnrolledAccepts Medicare Assignment
1003 E ILLINOIS ST, PETERSBURG, IN 47567(812) 354-3485(812) 354-3459 Get Directions Write a Review

NPPES record last updated: June 28, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 28, 2017, Dec 27, 2016 (2 updates tracked since 2016).

About Nicole L Stevenson Msn-npc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE L STEVENSON MSN-NPC (NPI 1063727204) is an individual family provider in Petersburg, Indiana, licensed in Indiana (71003367A) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Daviess Community Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1063727204
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE L STEVENSONCredential: MSN-NPC
Location Address1003 E ILLINOIS STPetersburg, IN 47567-8068
Mailing AddressPo Box 1028Jasper, IN 47547-1028 · (812) 996-5255 · Fax (812) 996-8497
Fax(812) 354-3459
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 12, 2010
Last NPPES UpdateJune 28, 20172 updates tracked since enumeration
NPI 1063727204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71003367A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71003367A (IN)
1003 E ILLINOIS ST, Petersburg, IN 47567

Other Names 1

Former Name (1)Nicole L Brenner

Other Identifiers 3

Medicaid200996500IN
Medicaid7100275180KY
Other28164932AIN · Indiana State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole L Stevenson Msn-npc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901090372
PECOS Enrollment IDI20101029000368, I20140324000889
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Daviess Community Hospital

Acute Care Hospitals · Washington, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150061
Location1314 E Walnut StWashington, IN 47501 · Daviess County
Emergency services Birthing friendly

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47567 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers19 claims48 services$5.50 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims385 services$1.94 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$9.38 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers12 claims720 services$0.71 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers14 claims14 services$22.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1003 E ILLINOIS ST
PETERSBURG, IN 47567
Family Medicine
1003 E ILLINOIS ST
PETERSBURG, IN 47567
Family Medicine
1003 E ILLINOIS ST
PETERSBURG, IN 47567

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063727204, enumerated as an "individual" on August 12, 2010.

The provider is located at 1003 E ILLINOIS ST PETERSBURG, IN 47567 and the phone number is (812) 354-3485.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Nicole Stevenson is affiliated with: DAVIESS COMMUNITY HOSPITAL, DEACONESS HOSPITAL INC and MEMORIAL HOSPITAL AND HEALTH CARE CENTER.