DEBRA F NICKERSON PSY.D.
NPI 1417172883
Psychologist - Clinical in Winfield, IL

Q: What is Debra Nickerson's NPI number?

The NPI number for Debra Nickerson is 1417172883. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Q: What is Debra Nickerson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Debra Nickerson enrolled in Medicare?

No. Debra Nickerson has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Debra Nickerson was last updated on March 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 April 13, 2007Opted out of Medicare · through May 16, 2028

1N141 COUNTY FARM RD, SUITE 130, WINFIELD, IL 60190(630) 752-9725(630) 752-9726 Get Directions Write a Review

NPPES record last updated: March 6, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Debra F Nickerson Psy.d. NPPES

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

DEBRA F NICKERSON PSY.D. (NPI 1417172883) is an individual clinical provider in Winfield, Illinois, licensed in Illinois (071006202) and active in the NPI registry since April 2007. She has opted out of Medicare through May 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417172883

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDEBRA F NICKERSONCredential: PSY.D.

Location Address1N141 COUNTY FARM RD, SUITE 130Winfield, IL 60190-2032

Mailing AddressPo Box 239Winfield, IL 60190-0239 · (630) 752-9725 · Fax (630) 752-9726

Phone(630) 752-9725

Fax(630) 752-9726

Sole ProprietorNo

Enumeration DateApril 13, 2007

Last NPPES UpdateMarch 6, 2009

✔ NPI 1417172883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071006202

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1N141 COUNTY FARM RD, Winfield, IL 60190

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Other Identifiers 1

OtherBCBSIL · 022-32734

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Debra F Nickerson Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 16, 2012 through May 16, 2028.

Opt-Out Effective DateMay 16, 2012

Opt-Out In Effect ThroughMay 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60190 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

$181.38 typical visit price

range $59.81 – $181.38

Typical copayment $45.34 (range $14.95 – $45.34)

Most-billed visit code 99205

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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 11

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

DR. JANELLE SHINHOSTER PSY.D.

Psychologist (Clinical)

1N141 COUNTY FARM RD, SUITE 130
WINFIELD, IL 60190

Dupage County (630) 752-9725

DR. ROBIN L PASTORE DPM

Podiatrist (Foot & Ankle Surgery)

1N141 COUNTY FARM RD, SUITE 100
WINFIELD, IL 60190

Dupage County (630) 510-0098

MEEK AND ASSOCIATES, P.C.

Psychologist (Clinical)

1N141 COUNTY FARM RD
WINFIELD, IL 60190

Dupage County (630) 221-1919

MELISSA BETH GONSKI LCPC

Counselor (Professional)

1N141 COUNTY FARM RD, SUITE 120
WINFIELD, IL 60190

Dupage County (630) 221-1909

SANDPIPER DENTAL P.C.

Dentist

1N141 COUNTY FARM RD, SUITE 150
WINFIELD, IL 60190

Dupage County (630) 588-1700

KATHERYN R. MEEK PSY.D.

Psychologist (Clinical)

1N141 COUNTY FARM RD, SUITE 120
WINFIELD, IL 60190

Dupage County (630) 221-1909

NICKERSON & ASSOCIATES, P.C.

Psychologist (Clinical)

1N141 COUNTY FARM RD, SUITE 130
WINFIELD, IL 60190

Dupage County (630) 752-9725

GLENNA R GANSTER LCPC

Counselor (Professional)

1N141 COUNTY FARM RD, STE. 120
WINFIELD, IL 60190

Dupage County (630) 221-1909

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 Debra Nickerson's NPI number?

The NPI number for Debra Nickerson is 1417172883. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Debra Nickerson located?

Debra Nickerson practices at 1n141 County Farm Rd Suite 130, Winfield, IL 60190. The listed phone number is (630) 752-9725.

What is Debra Nickerson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Debra Nickerson enrolled in Medicare?

No. Debra Nickerson has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Debra Nickerson was last updated on March 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.