MRS. NICHOLE LYNN JUSTICE FNP-C
NPI 1376211151
Nurse Practitioner in Carbondale, IL

Q: What is Nichole Justice's NPI number?

The NPI number for Nichole Justice is 1376211151. It was assigned to this individual provider in the NPPES registry on September 5, 2021.

Q: What is Nichole Justice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Justice was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 05, 2021PECOS EnrolledAccepts Medicare Assignment

405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2022, Dec 9, 2021 (2 updates tracked since 2021).

On this page

About Mrs. Nichole Lynn Justice Fnp-c NPPES

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

MRS. NICHOLE LYNN JUSTICE FNP-C (NPI 1376211151) is an individual nurse practitioner in Carbondale, Illinois, licensed in Illinois (209023758) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1376211151

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. NICHOLE LYNN JUSTICECredential: FNP-C

Location Address405 W JACKSON STCarbondale, IL 62901-1462

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 549-0721

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 5, 2021

Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2024

✔ NPI 1376211151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209023758

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209.023758 (IL)

405 W JACKSON ST, Carbondale, IL 62901

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Secondary Practice Locations 3

Location 1400 Rushing DriveHerrin, IL 62948 · Phone (618) 899-9200

Location 22 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156

Location 3201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171

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

Mrs. Nichole Lynn Justice Fnp-c 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 ID7911384912

PECOS Enrollment IDI20220512001804

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

127 services125 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

117 services116 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

16 services15 patients

Hospital Affiliations CMS Care Compare

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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.

MR. LUKAS WARD PA

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

RUPAL PARMAR M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

SCOTT A. COOPER M.D.

Emergency Medicine

405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901

Jackson County (618) 549-0721

LONG HA HUYNH M.D., PH.D.

Anesthesiology

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MS. BRITNEY NICOLE ARNOLD PA-C

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MR. DAN EDWARD MILLER CRNA

Nurse Anesthetist, Certified Registered

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

AMANDA M RYDEN MD

Emergency Medicine

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MS. NICOLE A JOHNSON PA-C

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

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 Nichole Justice's NPI number?

The NPI number for Nichole Justice is 1376211151. It was assigned to this individual provider in the NPPES registry on September 5, 2021.

Where is Nichole Justice located?

Nichole Justice practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Nichole Justice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nichole Justice enrolled in Medicare?

Yes. Nichole Justice 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 Nichole Justice affiliated with any hospitals?

According to CMS data, Nichole Justice is affiliated with Herrin Hospital.

When was this NPI record last updated?

The NPPES record for Nichole Justice was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.