ELIZABETH A NIETERT MD
NPI 1619199072
Dermatology in Springfield, IL

Q: What is Elizabeth Nietert's NPI number?

The NPI number for Elizabeth Nietert is 1619199072. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Q: What is Elizabeth Nietert's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Nietert was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 03, 2007PECOS EnrolledAccepts Medicare Assignment

83.31/100

CMS Quality Rating

751 N RUTLEDGE ST, SUITE 2300, SPRINGFIELD, IL 62702(217) 545-3821(217) 545-4485 Get Directions Write a Review

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

Record update history: Dec 11, 2025, Mar 7, 2023, Feb 19, 2016 (3 updates tracked since 2016).

On this page

About Elizabeth A Nietert Md NPPES

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

ELIZABETH A NIETERT MD (NPI 1619199072) is an individual dermatology provider in Springfield, Illinois, licensed in Illinois (036-130434) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619199072

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameELIZABETH A NIETERTCredential: MD

Location Address751 N RUTLEDGE ST, SUITE 2300Springfield, IL 62702-4968

Mailing AddressPo Box 19644Springfield, IL 62794-9644 · (217) 545-8000 · Fax (217) 545-4485

Phone(217) 545-3821

Fax(217) 545-4485

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2006

Enumeration DateMay 3, 2007

Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration

NPPES CertifiedDecember 11, 2025

✔ NPI 1619199072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in IL · 036-130434✔ Licensed in WI · 54439-020

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

751 N RUTLEDGE ST, Springfield, IL 62702

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Secondary Practice Locations 2

Location 133 GREEN BAY RDSTURGEON BAY, WI 54235-2831 · Phone (920) 746-4434 · Fax (920) 746-4436

Location 2510 N 17TH AVE STE CWAUSAU, WI 54401-4281 · Phone (715) 849-5333 · Fax (715) 849-4083

Other Identifiers 4

Medicaid036130434IL

Medicaid1619199072WI

Other171400024WI · Medicare

Other54439-020WI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Elizabeth A Nietert Md 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 ID4880888056

PECOS Enrollment IDI20101101001543, I20120920000687

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 15

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

769 services181 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.

277 services270 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

256 services243 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

128 services124 patients

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.

116 services111 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

91 services86 patients

Application of ultraviolet light to skin 96900

Application of ultraviolet light to skin is a treatment process where a special type of light is directed onto the skin. It's often used to treat certain skin conditions, like psoriasis or vitiligo. It's a safe, controlled procedure performed by a healthcare professional.

72 services11 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

65 services64 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

31 services31 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

19 services17 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

15 services14 patients

Removal of skin tag, 1-15 skin tags 11200

Skin tag removal is a simple procedure where small, benign growths on the skin are carefully removed. This can be achieved through several methods such as freezing, burning, or cutting off the skin tags. The process is quick, typically painless with local anesthesia, and aids in skin smoothness.

12 services12 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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.

83.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.38

Promoting Interoperability

Improvement Activities

Cost

65.82

Reported Quality Measures

Breast Cancer Screening

63%401 patients3/55-star benchmark: 93%

Colorectal Cancer Screening

18%1,109 patients1/55-star benchmark: 100%

Controlling High Blood Pressure

48%21 patients2/55-star benchmark: 98%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

43%47 patients3/55-star benchmark: 98%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

24%1,526 patients1/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%60 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 633 patients

Patients totalRate: 0% · 634 patients

0%634 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ZACHARIAH GURNSEY MD

Internal Medicine

751 N RUTLEDGE ST, STE 1100
SPRINGFIELD, IL 62702

Sangamon County (217) 545-0182

CATHERINE A NARITOKU R.D.

Dietitian, Registered

751 N RUTLEDGE ST, LOWER LEVEL
SPRINGFIELD, IL 62702

Sangamon County (217) 545-0182

MRS. LUCINDA S BUESCHER M.D.

Dermatology

751 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-3821

JAMES M GILCHRIST MD

Psychiatry & Neurology (Clinical Neurophysiology)

751 N RUTLEDGE ST, STE 3100
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

DR. AKSHRA VERMA MD, MS

Internal Medicine

751 N RUTLEDGE ST, STE 1100
SPRINGFIELD, IL 62702

Sangamon County (217) 545-0182

CYNTHIA A MICHAEL MD

Internal Medicine (Pulmonary Disease)

751 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

TILITHA S SHAWGO

Clinical Nurse Specialist (Acute Care)

751 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-4421

REBECCA J LARSON MD

Dermatology (MOHS-Micrographic Surgery)

751 N RUTLEDGE ST, SUITE 2300
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

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 Elizabeth Nietert's NPI number?

The NPI number for Elizabeth Nietert is 1619199072. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Elizabeth Nietert located?

Elizabeth Nietert practices at 751 N Rutledge St Suite 2300, Springfield, IL 62702. The listed phone number is (217) 545-3821.

What is Elizabeth Nietert's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Elizabeth Nietert enrolled in Medicare?

Yes. Elizabeth Nietert 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 Elizabeth Nietert accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 3 other insurers list Elizabeth Nietert 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 Elizabeth Nietert affiliated with any hospitals?

According to CMS data, Elizabeth Nietert is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Elizabeth Nietert was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.