JOHN NICHOLS FNP
NPI 1437666294
Nurse Practitioner - Family in Mattoon, IL

Active since January 02, 2018PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1000 HEALTH CENTER DR, MATTOON, IL 61938(217) 238-4325(217) 238-4290 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, Jan 3, 2019 (2 updates tracked since 2019).

About John Nichols Fnp NPPES

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

JOHN NICHOLS FNP (NPI 1437666294) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209015936) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437666294
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN NICHOLSCredential: FNP
Location Address1000 HEALTH CENTER DRMattoon, IL 61938
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Fax(217) 238-4290
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 2, 2018
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
NPI 1437666294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IL · 209015936 Licensed in MO · 2017028743
Also ListedHospitalistTaxonomy 208M00000X · License 209015936 (IL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209015936 (IL)
1000 HEALTH CENTER DR, Mattoon, IL 61938

Secondary Practice Locations 2

Location 178 Bert AveEast Alton, IL 62024-1725 · Phone (217) 246-4923
Location 21000 Health Center DrMattoon, IL 61938-9253 · Phone (217) 258-2551 · Fax (217) 258-2256

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

John Nichols Fnp 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 ID4486901980
PECOS Enrollment IDI20180714000155
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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
118 services115 patients
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.
43 services42 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.
33 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 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.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Nurse Anesthetist, Certified Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Occupational Therapist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Internal Medicine (Gastroenterology)
1000 HEALTH CENTER DR
MATTOON, IL 61938
Physician Assistant
1000 HEALTH CENTER DR
MATTOON, IL 61938
Internal Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Emergency Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Anesthesiology
1000 HEALTH CENTER DR
MATTOON, IL 61938

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 John Nichols's NPI number?

The NPI number for John Nichols is 1437666294. It was assigned to this individual provider in the NPPES registry on January 2, 2018.

Where is John Nichols located?

John Nichols practices at 1000 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 238-4325.

What is John Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Nichols enrolled in Medicare?

Yes. John Nichols 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 John Nichols affiliated with any hospitals?

According to CMS data, John Nichols is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for John Nichols was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.