NICOLE SUZETTE SOPER APN FNP-BC
NPI 1073969044
Nurse Practitioner - Family in Decatur, IL

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment
69.54/100
CMS Quality Rating
302 W HAY ST, DECATUR, IL 62526(217) 545-8000 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 25, 2019, May 10, 2016 (2 updates tracked since 2016).

About Nicole Suzette Soper Apn Fnp-bc NPPES

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

NICOLE SUZETTE SOPER APN FNP-BC (NPI 1073969044) is an individual family provider in Decatur, Illinois, licensed in Illinois (209014230) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1073969044
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE SUZETTE SOPERCredential: APN FNP-BC
Location Address302 W HAY STDecatur, IL 62526-4167
Mailing Address201 E Madison StSpringfield, IL 62702-5131 · (217) 545-3787 · Fax (217) 762-3949
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 10, 2016
Last NPPES UpdateNovember 25, 20192 updates tracked since enumeration
NPI 1073969044 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 IL · 209014230
Also ListedRegistered NurseTaxonomy 163W00000X · License 041330758 (IL)
302 W HAY ST, Decatur, IL 62526

Secondary Practice Location 1

Location 11709 S Fairview AveDecatur, IL 62521 · Phone (217) 429-2551 · Fax (217) 429-2942

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 Suzette Soper Apn Fnp-bc 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 ID749573277
PECOS Enrollment IDI20160721001040
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 15

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

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.
740 services609 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
517 services462 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
344 services295 patients
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.
177 services169 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
115 services32 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
97 services14 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Kirby Medical Center

Critical Access Hospitals · Monticello, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141301
Location1000 Medical Center DriveMonticello, IL 61856 · Piatt County
Emergency services

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141354
Location200 S Cedar StShelbyville, IL 62565 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.24
Improvement Activities40
Cost62.17

Reported Quality Measures

Breast Cancer Screening
41%122 patients2/55-star benchmark: 93%
Colorectal Cancer Screening
32%699 patients2/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
87%1,586 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
87%808 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%1,163 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%287 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 728 patients
Patients totalRate: 0% · 728 patients
0%728 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers30 claims3,195 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers71 claims11,940 services$1.69 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers65 claims7,731 services$5.19 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
5 suppliers19 claims40 services$8.89 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 15

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

Urology
302 W HAY ST, STE 200
DECATUR, IL 62526
Nurse Practitioner
302 W HAY ST
DECATUR, IL 62526
Specialist
302 W HAY ST, SUITE LL110
DECATUR, IL 62526
Surgery
302 W HAY ST, STE 205
DECATUR, IL 62526
Specialist
302 W HAY ST, STE 210
DECATUR, IL 62526
Surgery
302 W HAY ST, STE 140
DECATUR, IL 62526
Surgery
302 W HAY ST, SUITE 205
DECATUR, IL 62526
Internal Medicine
302 W HAY ST, SUITE 130
DECATUR, IL 62526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Soper's NPI number?

The NPI number for Nicole Soper is 1073969044. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Nicole Soper located?

Nicole Soper practices at 302 W Hay St, Decatur, IL 62526. The listed phone number is (217) 545-8000.

What is Nicole Soper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Soper enrolled in Medicare?

Yes. Nicole Soper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nicole Soper affiliated with any hospitals?

According to CMS data, Nicole Soper is affiliated with St Johns Hospital, Decatur Memorial Hospital, St Marys Hospital, Kirby Medical Center and Hshs Good Shepherd Hospital Inc.

When was this NPI record last updated?

The NPPES record for Nicole Soper was last updated on November 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.