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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2026, Apr 25, 2024, Nov 20, 2023 and 1 more (4 updates tracked since 2022).

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 · (217) 223-8400 · Fax (217) 277-3960
Phone(217) 224-6423
Fax(217) 223-9370
Sole ProprietorYes
Enumeration DateMarch 6, 2022
Last NPPES UpdateSeptember 24, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Lacy Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blessing Hospital
Same address
Multi-Specialty
1005 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 363 clinicians in this Medicare group
NPI 1114471737 (217) 223-8400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 20

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

JONATHAN WILFORD DO
Family Medicine
927 BROADWAY ST, SUITE 121
QUINCY, IL 62301
Adams County (217) 224-6423
ERIC E. SCHULTZ LCSW
Social Worker (Clinical)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-4453
ALAN RICHARD OBERT MSW, LCSW
Social Worker (Clinical)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-4453
CHARONE TOLBERT MD
Pediatrics
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-6423
DR. MAGGIE LOUISE SEARIGHT LAMBORN M.D.
Psychiatry & Neurology (Psychiatry)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-4453
KATHERINE THOMURE LCSW
Social Worker (Clinical)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
DR. AHMED JOUAN
Psychiatry & Neurology (Neurology)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 214-6240
MICHAEL ANTHONY TROUP JR. LPC
Counselor (Professional)
927 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 224-4453

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 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.

Where is Lacy Nichols located?

Lacy Nichols practices at 927 Broadway St, Quincy, IL 62301. The listed phone number is (217) 224-6423.

What is Lacy Nichols's specialty?

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

Is Lacy Nichols enrolled in Medicare?

Yes. Lacy Nichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lacy Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Nichols reassigns Medicare benefits to Blessing Hospital (Quincy, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lacy Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacy Nichols accept?

Health plans from Anthem Blue Cross and Blue Shield list Lacy Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacy Nichols was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.