MRS. DEBORAH L NIELSEN R.N. A.P.N
NPI 1124276811
Nurse Practitioner - Acute Care in Pontiac, IL

Q: What is Deborah Nielsen's NPI number?

The NPI number for Deborah Nielsen is 1124276811. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Q: What is Deborah Nielsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Deborah Nielsen was last updated on June 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 05, 2008PECOS Enrolled

72.27/100

CMS Quality Rating

2500 W REYNOLDS ST, PONTIAC, IL 61764(815) 844-5343(815) 844-5715 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Deborah L Nielsen R.n. A.p.n NPPES

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

MRS. DEBORAH L NIELSEN R.N. A.P.N (NPI 1124276811) is an individual acute care provider in Pontiac, Illinois, licensed in Illinois (209.007237) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124276811

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. DEBORAH L NIELSENCredential: R.N. A.P.N

Location Address2500 W REYNOLDS STPontiac, IL 61764-9774

Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541

Phone(815) 844-5343

Fax(815) 844-5715

Sole ProprietorNo

Enumeration DateSeptember 5, 2008

Last NPPES UpdateJune 25, 2021

NPPES CertifiedJune 25, 2021

✔ NPI 1124276811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IL · 209.007237

2500 W REYNOLDS ST, Pontiac, IL 61764

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Other Identifiers 1

Other209.007237IL · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Deborah L Nielsen R.n. A.p.n 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 61764 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.

72.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

53.2

Promoting Interoperability

100

Improvement Activities

Cost

21.04

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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.

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