NICHOLAS J SUTTON NP
NPI 1699148726
Nurse Practitioner in Columbia, IL

Active since November 11, 2015PECOS EnrolledAccepts Medicare Assignment
1000 ELEVEN S STE 4A, COLUMBIA, IL 62236(618) 206-6120 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2025, Jul 20, 2021, Apr 9, 2020 and 2 more (5 updates tracked since 2015).

About Nicholas J Sutton Np NPPES

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

NICHOLAS J SUTTON NP (NPI 1699148726) is an individual nurse practitioner in Columbia, Illinois, licensed in Illinois (277000374) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699148726
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameNICHOLAS J SUTTONCredential: NP
Location Address1000 ELEVEN S STE 4AColumbia, IL 62236-1077
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2015
Enumeration DateNovember 11, 2015
Last NPPES UpdateApril 23, 20255 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
NPI 1699148726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in IL · 277000374 Licensed in MO · 2017009020
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.
1000 ELEVEN S STE 4A, Columbia, IL 62236

Secondary Practice Locations 2

Location 150 Northgate Industrial DrGranite City, IL 62040-6805 · Phone (618) 877-4420
Location 21181 S State Route 157, Suite 201Edwardsville, IL 62025-3776 · Phone (618) 288-8850

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

Nicholas J Sutton Np 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 ID2769784024
PECOS Enrollment IDI20160105000565, I20170508002465
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.

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62236 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 5

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

Nurse Practitioner (Family)
1000 ELEVEN S STE 4A
COLUMBIA, IL 62236
Nurse Practitioner
1000 ELEVEN S STE 4A
COLUMBIA, IL 62236
Family Medicine
1000 ELEVEN S STE 4A
COLUMBIA, IL 62236
Family Medicine
1000 ELEVEN S STE 4A
COLUMBIA, IL 62236
Nurse Practitioner (Family)
1000 ELEVEN S STE 4A
COLUMBIA, IL 62236

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 Nicholas Sutton's NPI number?

The NPI number for Nicholas Sutton is 1699148726. It was assigned to this individual provider in the NPPES registry on November 11, 2015.

Where is Nicholas Sutton located?

Nicholas Sutton practices at 1000 Eleven S Ste 4A, Columbia, IL 62236. The listed phone number is (618) 206-6120.

What is Nicholas Sutton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicholas Sutton enrolled in Medicare?

Yes. Nicholas Sutton 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 Nicholas Sutton affiliated with any hospitals?

According to CMS data, Nicholas Sutton is affiliated with Ssm St Joseph Health Center.

When was this NPI record last updated?

The NPPES record for Nicholas Sutton was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.