LACY JO NICHOLS
NPI 1083361430
Nurse Practitioner - Neonatal in Quincy, IL

Q: What is Lacy Nichols's NPI number?

The NPI number for Lacy Nichols is 1083361430. It was assigned to this individual provider in the NPPES registry on March 6, 2022.

Q: What is Lacy Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Lacy Nichols was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 06, 2022PECOS Enrolled

927 BROADWAY ST, QUINCY, IL 62301(217) 224-6423(217) 223-9370 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Nov 20, 2023, Mar 6, 2022 (3 updates tracked since 2022).

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About Lacy Jo Nichols NPPES

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

LACY JO NICHOLS (NPI 1083361430) is an individual neonatal provider in Quincy, Illinois, licensed in Illinois (209028825) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083361430

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameLACY JO NICHOLS

Location Address927 BROADWAY STQuincy, IL 62301-2719

Mailing Address1005 Broadway StQuincy, IL 62301-2834

Phone(217) 224-6423

Fax(217) 223-9370

Sole ProprietorYes

Enumeration DateMarch 6, 2022

Last NPPES UpdateApril 25, 20243 updates tracked since enumeration

NPPES CertifiedApril 25, 2024

✔ NPI 1083361430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in IL · 209028825

Also ListedRegistered NurseTaxonomy 163W00000X · License 041369541 (IL)

927 BROADWAY ST, Quincy, IL 62301

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacy Jo Nichols is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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.

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