Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE RENEE DISSETTE PMHNP-BC
NPI 1578320297
Nurse Practitioner - Psychiatric/Mental Health in Springfield, IL

Active since February 28, 2024PECOS EnrolledAccepts Medicare Assignment
5230 6TH STREET FRONTAGE RD E, SPRINGFIELD, IL 62703(217) 585-1180 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Renee Dissette Pmhnp-bc NPPES

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

NICOLE RENEE DISSETTE PMHNP-BC (NPI 1578320297) is an individual psychiatric/mental health provider in Springfield, Illinois, licensed in Illinois (277005931) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Touchette Regional Hospital Inc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1578320297
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE RENEE DISSETTECredential: PMHNP-BC
Location Address5230 6TH STREET FRONTAGE RD ESpringfield, IL 62703-5128
Mailing Address6720 Oxford LnMaryville, IL 62062-6876 · (618) 304-4158
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 28, 2024
Last NPPES UpdateJuly 25, 2026
NPPES CertifiedJuly 25, 2026
NPI 1578320297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 277005931
5230 6TH STREET FRONTAGE RD E, Springfield, IL 62703

Accepted Insurance

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

Nicole Renee Dissette Pmhnp-bc 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 ID7810415890
PECOS Enrollment IDI20250513003686
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.

Hospital Affiliations CMS Care Compare

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

Touchette Regional Hospital Inc

Acute Care Hospitals · Centreville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140077
Location5900 Bond AvenueCentreville, IL 62207 · St. Clair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 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.

Marriage & Family Therapist
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Nurse Practitioner (Psychiatric/Mental Health)
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Counselor
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Registered Nurse
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Counselor (Addiction (Substance Use Disorder))
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Counselor
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703
Counselor (Mental Health)
5230 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703

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 Nicole Dissette's NPI number?

The NPI number for Nicole Dissette is 1578320297. It was assigned to this individual provider in the NPPES registry on February 28, 2024.

Where is Nicole Dissette located?

Nicole Dissette practices at 5230 6th Street Frontage Rd E, Springfield, IL 62703. The listed phone number is (217) 585-1180.

What is Nicole Dissette's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Dissette enrolled in Medicare?

Yes. Nicole Dissette 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.

What insurance does Nicole Dissette accept?

Health plans from UnitedHealthcare list Nicole Dissette as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Dissette affiliated with any hospitals?

According to CMS data, Nicole Dissette is affiliated with Touchette Regional Hospital Inc.

When was this NPI record last updated?

The NPPES record for Nicole Dissette was last updated on July 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.