HALEIGH RANAE NICHOLSON
NPI 1205429503
Nurse Practitioner - Family in Danville, IL
About Haleigh Ranae Nicholson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HALEIGH RANAE NICHOLSON (NPI 1205429503) is an individual family provider in Danville, Illinois, licensed in Illinois (209022381) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Haleigh Ranae Nicholson 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.
Medicare Billing Reassignment
Medicare enrollment records show Haleigh Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Medical Center
Acute Care Hospitals · Peoria, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61832 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Haleigh Nicholson's NPI number?
The NPI number for Haleigh Nicholson is 1205429503. It was assigned to this individual provider in the NPPES registry on February 17, 2021.
Where is Haleigh Nicholson located?
Haleigh Nicholson practices at 3653 N. Vermilion Street, Danville, IL 61832. The listed phone number is (217) 554-6827.
What is Haleigh Nicholson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Haleigh Nicholson enrolled in Medicare?
Yes. Haleigh Nicholson 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.
Which organization bills Medicare for Haleigh Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haleigh Nicholson reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, 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 Haleigh Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Haleigh Nicholson affiliated with any hospitals?
According to CMS data, Haleigh Nicholson is affiliated with Saint Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Haleigh Nicholson was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Haleigh Ranae Nicholson · NPI 1205429503
Family physician in Danville, Illinois. Individual provider, active in the CMS NPPES registry since February 17, 2021.
## Identity
- **NPI:** 1205429503 (Entity type: Individual)
- **Enumerated:** February 17, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209022381 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3653 N. VERMILION STREET, Danville, IL 61832
- **Phone:** (217) 554-6827
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205429503) · Data from the CMS NPPES public registry.