MS. NICOLE WAKEFIELD
NPI 1417730938
Nurse Practitioner in Champaign, IL

Q: What is Nicole Wakefield's NPI number?

The NPI number for Nicole Wakefield is 1417730938. It was assigned to this individual provider in the NPPES registry on August 17, 2023. The provider is also known as Nicole Mccoy.

Q: What is Nicole Wakefield'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 Nicole Wakefield was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 August 17, 2023PECOS EnrolledAccepts Medicare Assignment

101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820(217) 366-1255 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2025, Jun 5, 2024, Aug 17, 2023 (3 updates tracked since 2023).

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About Ms. Nicole Wakefield NPPES

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

MS. NICOLE WAKEFIELD (NPI 1417730938) is an individual nurse practitioner in Champaign, Illinois, licensed in Illinois (209028120) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417730938

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. NICOLE WAKEFIELD

Location Address101 W UNIVERSITY AVEChampaign, IL 61820-3981

Mailing Address101 W University AveChampaign, IL 61820-3909 · (217) 366-1255

Phone(217) 366-1255

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 17, 2023

Last NPPES UpdateMay 6, 20253 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1417730938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209028120

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.

101 W UNIVERSITY AVE, Champaign, IL 61820

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Other Names 1

Former Name (1)Nicole Mccoy

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

Ms. Nicole Wakefield 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 ID6103271283

PECOS Enrollment IDI20231010000931

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 Reassignments

Medicare enrollment records show Nicole Wakefield reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christie Clinic, PLLC

Same address

Internal Medicine

101 W UNIVERSITY AVE
Champaign, IL 61820

Reassigned Medicare billing, Illinois enrollment
289 clinicians in this Medicare group

NPI 1871523829 (217) 366-1200

Carle Health Medical Group

1.2 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Hoopeston Community Memorial Hospital

38 mi

Rural Health

801 E ORANGE ST
Hoopeston, IL 60942

Reassigned Medicare billing, Illinois enrollment
488 clinicians in this Medicare group

NPI 1578504544 (214) 283-5644

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 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.

ELLEN FLORA

Physician Assistant